NPIMap

Organization Active NPI

Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
National Provider Identifier
1467538520
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
120000181 Issued in CA
Legal business name
BAKERSFIELD MEMORIAL HOSPITAL
Practice address
420 34TH St
Bakersfield, CA 93301-2237
Phone
(661) 327-4647
Fax
(661) 637-0529
NPI assigned
Oct 31, 2006
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Jon Van Boening
Title
President
Phone
(661) 327-1792

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 120000181 CA Primary
Skilled Nursing Facility 314000000X 120000181 CA

Addresses

Primary practice location

420 34TH St
Bakersfield, CA 93301-2237

Mailing address

PO Box 1888
Bakersfield, CA 93303-1888
Phone (661) 327-4647

Other identifiers 4

IdentifierTypeStateIssuer
ZZT40036FMedicaidCA
90006MedicaidCA
ZZZA1502ZOtherBLUE SHIELD OF CALIF
ZZT30036FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116001317 CA Part A Provider - Hospital 1254395577 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467538520. Details of each certification follow.

Hospital certification: CCN 050036

Legal name
BAKERSFIELD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 19, 2024
Beds
421 (366 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jun 30, 1997 (1 total)
Organization structure
CorporationNon-profit
Incorporated
May 21, 1951 in CA
Enrollment address
420 34TH St
Bakersfield, CA 93301-2237
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Other

Care Compare: Hospital

Medicare Care Compare
Listed as
Bakersfield Memorial HospitalCCN 050036 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3838 San Dimas St
Ste B131
Bakersfield, CA 93301
Phone (661) 327-4647

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Donald McMurtrey Individual Corporate DirectorBoard Member Jan 1, 2014
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Simon Ratliff Individual Corporate OfficerHospital Ceo Dec 1, 2024
Corporate DirectorHospital Ceo and Board Member Dec 1, 2024
Bradley Hannink Individual Corporate DirectorBoard Member - Vice Chair Jan 1, 1994
Dignity Health Organization, San Francisco, CA Corporation, Non-profit, Chain home office, Owned by another organization or individual Other Feb 1, 2019
John Holbert Individual Corporate OfficerChief Financial Officer Aug 2, 2021
W-2 Managing EmployeeChief Financial Officer Aug 2, 2021
Operational/Managerial ControlChief Financial Officer Aug 2, 2021
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
Morgan Clayton Individual Corporate DirectorBoard Member Apr 1, 2016
Octavio Escobedo Individual Corporate DirectorBoard Member Sep 1, 2024
Kenneth Keller Individual Corporate OfficerPresident, Ceo Jan 1, 2019
Corporate DirectorPresident, Ceo Jan 1, 2019
W-2 Managing EmployeePresident, Ceo Jan 1, 2019
Operational/Managerial ControlPresident, Ceo Jan 1, 2019
Glenda Small Individual Corporate DirectorSecretary/Treasurer of the Board Jan 1, 2011
Benjamin John Predum Individual Corporate DirectorPresident - Mercy Jul 11, 2022
Christina del Toro-Diaz Individual Corporate DirectorBoard Member Mar 1, 2022
Steven W Scharmann Individual Operational/Managerial ControlVice President, Fin and Rev Cycle Feb 1, 2019
Javier E Miro Individual Corporate DirectorBoard Member Jan 1, 2007
John R Findley Individual Corporate DirectorBoard Member Jan 1, 1992
John E Petersdorf Individual Operational/Managerial ControlSVP, Operations Finance Feb 1, 2019
Robert Noriega Individual Corporate DirectorChairman of the Board of Directors Jan 1, 2003
Dignity Community Care Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Daniel Clifford Individual Corporate DirectorBoard Member Jan 1, 2019

Owners & managing parties with NPI records 12

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

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 310

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

View all 310

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1467538520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933031888",
            "telephone_number": "661-327-4647",
            "fax_number": "661-637-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012237",
            "telephone_number": "661-327-4647",
            "fax_number": "661-637-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "VAN BOENING",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-327-1792"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "120000181",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40036F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIF",
            "identifier": "ZZZA1502Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30036F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.