Organization Active NPI

Kern Rural Wellness Centers, Inc.

Doing business as Wasco Health Clinic

  • Family Medicine Physician
  • Wasco, CA
National Provider Identifier
1487175642
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A9453 Issued in CA
Legal business name
KERN RURAL WELLNESS CENTERS, INC.
Doing business as
Wasco Health Clinic
Practice address
1149 7TH St
Wasco, CA 93280-1819
Phone
(661) 910-6890
NPI assigned
Jun 28, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KERN RURAL WELLNESS CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Alex Garcia
Title
Biller
Phone
(661) 910-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A9453 CA Primary

Addresses

Primary practice location

1149 7TH St
Wasco, CA 93280-1819

Mailing address

146 N Hill St
Arvin, CA 93203-1014
Phone (661) 855-4468

Other names 1

  • Wasco Health Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Kern Rural Wellness Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1487175642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N HILL ST",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031014",
            "telephone_number": "661-855-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801819",
            "telephone_number": "661-910-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN RURAL WELLNESS CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KERN RURAL WELLNESS CENTERS, INC.",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "661-910-2407"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A9453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wasco Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.