Individual provider Active NPI

Kevork A. Bouldoukian, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1720020464
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A55931 Issued in CA
Practice address
2128 Truxtun Ave
Bakersfield, CA 93301-3702
Phone
(661) 633-9080
Fax
(661) 633-9081
NPI assigned
Jun 10, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A55931 CA Primary
Hospitalist Physician 208M00000X A55931 CA

Addresses

Primary practice location

2128 Truxtun Ave
Bakersfield, CA 93301-3702

Mailing address

2128 Truxtun Ave
Bakersfield, CA 93301-3702
Phone (661) 633-9080

Other practice location 1

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 328-8904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000438 CA Practitioner - Internal Medicine 8921263773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

2128 Truxtun Ave
Bakersfield, CA 93301-3702
Phone (661) 633-9080

2901 Sillect Ave
Bakersfield, CA 93308-6372

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 4, 2024 Accepting new patients
Centric Health Internal Medicine CurrentSince Jul 10, 2025 Accepting new patients
Kevork Bouldoukian, M.D., Inc. Internal Medicine CurrentSince Apr 10, 1996 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Centric Health CurrentSince Jul 10, 2025 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Nov 4, 2024 Accepting new patients
Bakersfield Family Medical Group Inc Internal Medicine Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Mohawk Medical Group, Inc. Past Accepting new patients

Locations

2128 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-5843

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1720020464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013702",
            "telephone_number": "661-633-9080",
            "fax_number": "661-633-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013702",
            "telephone_number": "661-633-9080",
            "fax_number": "661-633-9081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Truxtun Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013602",
            "country_code": "US",
            "telephone_number": "661-328-8904",
            "fax_number": "661-310-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULDOUKIAN",
        "first_name": "KEVORK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55931",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A55931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.