Kern Anesthesia Associates, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

NA4086 Issued in CA

Legal business name

KERN ANESTHESIA ASSOCIATES, INC.

Practice address

21901 Cottonwood CT
Tehachapi, CA 93561-7110

Phone

(661) 861-0011

Fax

(661) 465-4150

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Terri Mathews

Title

Billing

Phone

(661) 861-0011

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710406459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21901 COTTONWOOD CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935617110",
            "telephone_number": "661-861-0011",
            "fax_number": "661-465-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21901 COTTONWOOD CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935617110",
            "telephone_number": "661-861-0011",
            "fax_number": "661-465-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN ANESTHESIA ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "661-861-0011"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "NA4086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NA4086",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN509823",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Jungo
• Randall Bruce Kam, DDS
• Navpreet Kaur, FNP
• Kayce Dawn Kazal
• James Lee Keller, P.T.
• Kern Radiology Medical Group, Inc
• Ryan Kerr, D.D.S.
• Eliana Yaena Kim
• Jennifer King, RN
• Joseph Jeffery King, FNP-C

• Anesthesiology Physician in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.