Organization Active NPI

Kern Surgical Associates Inc

  • Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1366290462
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KERN SURGICAL ASSOCIATES INC
Practice address
2020 Truxtun Ave
Bakersfield, CA 93301-5013
Phone
(661) 570-2020
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Jerry Cheriyan, MDNPI 1972891984
Title
Provider
Phone
(661) 570-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X

Addresses

Primary practice location

2020 Truxtun Ave
Bakersfield, CA 93301-5013

Mailing address

2020 Truxtun Ave
Bakersfield, CA 93301-5013
Phone (661) 570-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240702001075 CA Part B Supplier - Clinic/Group Practice 1052855087 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

2020 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 323-9448

4000 Stockdale Hwy
Ste D
Bakersfield, CA 93309
Phone (661) 323-7246

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1366290462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015013",
            "telephone_number": "661-570-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015013",
            "telephone_number": "661-570-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "CHERIYAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-570-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 17, 2025; 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.