NPIMap

Organization Active NPI

Kern County Hospital Authority

Doing business as Kern Medical Center

  • Pharmacy
  • Bakersfield, CA
National Provider Identifier
1629081849
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHE44938 Issued in CA
Legal business name
KERN COUNTY HOSPITAL AUTHORITY
Doing business as
Kern Medical Center
Practice address
2014 College Ave
Bakersfield, CA 93305-4193
Phone
(661) 326-2506
Fax
(661) 862-7652
NPI assigned
Aug 15, 2006
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Mr. Andrew Cantu
Title
Chief Financial Officer
Phone
(661) 326-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHE44938 CA Primary

Addresses

Primary practice location

2014 College Ave
Bakersfield, CA 93305-4193

Mailing address

2014 College Ave
Bakersfield, CA 93305-4193
Phone (661) 326-2506

Other identifiers 1

IdentifierTypeStateIssuer
PHB449380MedicaidCA

Other names 1

  • Kern Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629081849. 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 4

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

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 Authority23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

2014 College Ave
Bakersfield, CA 93305
Phone (661) 326-2506

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 2

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.

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1629081849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 COLLEGE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054193",
            "telephone_number": "661-326-2506",
            "fax_number": "661-862-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 COLLEGE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054193",
            "telephone_number": "661-326-2506",
            "fax_number": "661-862-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "661-326-2104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHE44938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB449380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kern Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.