NPIMap

Organization Active NPI

Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
National Provider Identifier
1336485218
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2085R0202X Issued in CA
Legal business name
KERN RADIOLOGY MEDICAL GROUP, INC
Practice address
9330 Stockdale Hwy
100
Bakersfield, CA 93311-3614
Phone
(661) 326-9600
Fax
(661) 334-3065
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerome (Jerry) Lyle Sturz
Title
Ceo
Phone
(661) 326-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 2085R0202X CA Primary

Addresses

Primary practice location

9330 Stockdale Hwy
100
Bakersfield, CA 93311-3614

Mailing address

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000421 CA Part B Supplier - Clinic/Group Practice 7214826460 Receives reassigned benefits from 245 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hacienda Heights, CA; Huntington Beach, CA; Irvine, CA; Lake Isabella, CA; Lamont, CA; Lebec, CA; Los Angeles, CA; Malibu, CA…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1336485218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BAHAMAS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090663",
            "telephone_number": "661-326-9600",
            "fax_number": "661-334-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STOCKDALE HWY",
            "address_2": "100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113614",
            "telephone_number": "661-326-9600",
            "fax_number": "661-334-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN RADIOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "STURZ",
        "authorized_official_first_name": "JEROME (JERRY)",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-326-9600"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "2085R0202X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.