NPIMap

Organization Active NPI

Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
National Provider Identifier
1376960005
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
120000182 Issued in CA
Legal business name
KERN COUNTY HOSPITAL AUTHORITY
Practice address
9330 Stockdale Hwy Ste 300
Bakersfield, CA 93311-3615
Phone
(661) 664-2200
Fax
(661) 664-3601
NPI assigned
Mar 19, 2014
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Ms. Renee C Villanueva
Title
Chief Ambulatory Officer
Phone
(661) 326-5625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 120000182 CA Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

9330 Stockdale Hwy Ste 300
Bakersfield, CA 93311-3615

Mailing address

1700 Mount Vernon Ave
Room 1241
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Other names 1

  • Kern Medical Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRR Other Craneware, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040525000852 CA Part B Supplier - Clinic/Group Practice 7810887205 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA
O20160603001988 CA Part A Provider - Hospital 4688964521 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA
O20160915002690 CA Part B Supplier - Clinic/Group Practice 4688964521 Receives reassigned benefits from 563 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rancho Mission Viejo, CA; La Jolla, CA; Laguna Niguel, CA; Los Angeles, CA; Malibu, CA; Murrieta, CA; Newark, CA; Newport Beach, CA…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376960005. Details of each certification follow.

Hospital certification: CCN 050315

Legal name
KERN COUNTY HOSPITAL AUTHORITY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 17, 2023
Beds
222
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jul 1, 2016 (2 total)
Organization structure
OtherNon-profit
Enrollment address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 14

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

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Kern Medical CenterCCN 050315 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kern County Hosp Authority20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

8500 Stockdale Hwy
Ste 190
Bakersfield, CA 93311

9330 Stockdale Hwy
Bakersfield, CA 93311

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott Thygerson Individual Corporate OfficerChief Exective Officer Aug 1, 2023 100%
W-2 Managing EmployeeCeo Aug 1, 2023 100%
Andrew Cantu Individual Corporate OfficerCfo Jul 1, 2016
Kern County Hospital Authority Organization, Bakersfield, CA Created for acquisition 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

Affiliated clinicians 278

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 278

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1376960005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "ROOM 1241",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000",
            "fax_number": "661-872-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STOCKDALE HWY STE 300",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113615",
            "telephone_number": "661-664-2200",
            "fax_number": "661-664-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF AMBULATORY OFFICER",
        "authorized_official_telephone_number": "661-326-5625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "120000182",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRR",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.9.1",
            "affiliationName": "Craneware, Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3340 Peachtree Rd NE Ste 850",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303261072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kern Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kern Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.