Organization Active NPI

Avina Health, Inc

  • Pharmacist
  • Delano, CA
National Provider Identifier
1366060899
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
AVINA HEALTH, INC
Practice address
1017 Ellington St
Delano, CA 93215-2621
Phone
(661) 427-4612
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dr. Kevin Komoto, PHARMDNPI 1942640974
Title
Ceo
Phone
(661) 427-4612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

1017 Ellington St
Delano, CA 93215-2621

Mailing address

1017 Ellington St
Delano, CA 93215-2621
Phone (661) 425-7107

Other practice location 1

2110 Truxtun Ave Ste 400
Bakersfield, CA 93301-3703
Phone (661) 427-4612

Other practice location 2

23560 Lyons Ave Ste 222
Santa Clarita, CA 91321-5717
Phone (661) 425-7107

National Provider Directory

National Provider Directory

Locations

2110 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone (661) 427-4612

23560 Lyons Ave
Ste 222
Santa Clarita, CA 91321
Phone (661) 425-7107

Practitioners & affiliated clinicians

Practitioners 2

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": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1366060899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ELLINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152621",
            "telephone_number": "661-425-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ELLINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152621",
            "telephone_number": "661-427-4612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Truxtun Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013703",
            "country_code": "US",
            "telephone_number": "661-427-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23560 Lyons Ave Ste 222",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913215717",
            "country_code": "US",
            "telephone_number": "661-425-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVINA HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "KOMOTO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-427-4612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.