NPIMap

Organization Active NPI

Kern County Neurological Medical Group, Inc

Doing business as Kern County Neurology Medical Group, Inc

  • Neurology with Special Qualifications in Child Neurology Physician
  • City of Industry, CA
National Provider Identifier
1659901254
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
KERN COUNTY NEUROLOGICAL MEDICAL GROUP, INC
Doing business as
Kern County Neurology Medical Group, Inc
Rowland HTS Neurological Center
Practice address
18645 Gale Ave Ste 228B
City of Industry, CA 91748-1363
Phone
(661) 322-3008
Fax
(661) 322-5507
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Jian Cheng Lin, MDNPI 1982683959
Title
President
Phone
(661) 322-3008

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
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

18645 Gale Ave Ste 228B
City of Industry, CA 91748-1363

Mailing address

1705 28TH St
Bakersfield, CA 93301-1902
Phone (661) 322-3008

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ82875ZMedicaidCA

Other names 2

  • KERN COUNTY NEUROLOGY MEDICAL GROUP, INC Doing business as
  • Rowland HTS Neurological Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kern County Neuro Med Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

18645 Gale Ave
Ste 228B
City of Industry, CA 91748
Phone (661) 322-3008

Practitioners & affiliated clinicians

Practitioners 1

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": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1659901254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011902",
            "telephone_number": "661-322-3008",
            "fax_number": "661-322-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18645 GALE AVE STE 228B",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481363",
            "telephone_number": "661-322-3008",
            "fax_number": "661-322-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN COUNTY NEUROLOGICAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JIAN",
        "authorized_official_middle_name": "CHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-322-3008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82875Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERN COUNTY NEUROLOGY MEDICAL GROUP, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rowland HTS Neurological Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.