NPIMap

Organization Active NPI

American Health Associates, Inc

  • Home Health Agency
  • Bakersfield, CA
National Provider Identifier
1962596775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICAN HEALTH ASSOCIATES, INC
Practice address
930 Oak St
Bakersfield, CA 93304-1060
Phone
(661) 861-1478
Fax
(661) 861-9037
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Wesley Lum
Title
Administrator
Phone
(661) 861-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

930 Oak St
Bakersfield, CA 93304-1060

Mailing address

930 Oak St
Bakersfield, CA 93304-1060

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ65027ZOtherCABLUE SHIELD OF CALIFORNIA
10454OtherCAKERN FAMILY HEALTH CARE
HHA08264FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030821000032 CA Part A Provider - Home Health Agency 5890606339 Practice locations: Bakersfield, CA

Home health agency certification: CCN 058264

Legal name
AMERICAN HEALTH ASSOCIATES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 2, 2004
Last certification
Jan 15, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2003 in CA
Enrollment address
930 Oak St
Bakersfield, CA 93304-1060

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Health Associates, IncCCN 058264
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 2, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1020055American Health Associates Inc930 Oak Street, Bakersfield, CA 93304Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

930 Oak St
Bakersfield, CA 93304
Phone (661) 861-1478

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wesley Lum Individual 5% Or Greater Direct Ownership InterestOwner Jun 5, 2003 50%
Corporate OfficerCeo Oct 13, 2003
Corporate DirectorBoard Member Oct 13, 2003
W-2 Managing EmployeeOwner Jun 5, 2003
Arnida Lum Individual 5% Or Greater Direct Ownership InterestOwner Jun 5, 2003 50%
Corporate OfficerSecretary Oct 13, 2003
Corporate DirectorBoard Member Oct 13, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962596775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 OAK ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 OAK ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041060",
            "telephone_number": "661-861-1478",
            "fax_number": "661-861-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-861-1478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ65027Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KERN FAMILY HEALTH CARE",
            "identifier": "10454",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08264F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.