KERN VALLEY HEALTHCARE DISTRICT (NPI# 1427049964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427049964 |
| Entity Type | Organization |
| Organization Name | KERN VALLEY HEALTHCARE DISTRICT |
| Practice Address |
6412 Laurel Ave Lake Isabella CA 93240-9529 |
| Mailing Address |
Po Box 1628 Lake Isabella CA 93240-1628 |
| Practice Telephone | 7603792681 |
| Practice Fax Number | 7603794795 |
| Mailing Telephone | 7603792681 |
| Mailing Fax Number | 7603794795 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | JEANNE OLSON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 7603792681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 120000183 | CA | Nursing & Custodial Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | PHE40272 | CA | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
120000183 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCP08561F | 05 | |
| CA | LTC55517F | 05 | |
| CA | RHM08561F | 05 | |
| OTHER ID NUMBER | 0503830 | 01 | |
| CA | GR0094370 | 05 | |
| CA | HAP08561F | 05 | |
| CA | LTC30542F | 05 | |
| CA | ZZT30542F | 05 | |
| CA | PHA402720 | 05 | |
| CA | RHM08527F | 05 | |
| CA | ZZT40542F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588129027 | Kern Valley Healthcare District | Clinic/Center | 4300 Birch Street, Lake Isabella, CA 93240 | 2019-02-08 |
| 1457854192 | Kern Valley Healthcare District | Clinic/Center | 4300 Birch Street, Mt Mesa, CA 93240 | 2018-03-08 |
| Street Address |
6412 LAUREL AVE |
| City | LAKE ISABELLA |
| State | CA |
| Zip Code | 93240-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033694096 | Tiffany Clarice Frieson | Dietitian, Registered | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2018-09-26 |
| 1568865657 | Bryan Batdorf | Physician Assistant | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2014-10-02 |
| 1366630550 | Isabella Emergency Physicians | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2007-10-12 |
| 1760504815 | Peter Jackson Newell | Emergency Medicine | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2007-04-06 |
| 1619025228 | Christopher R Burrows | Emergency Medicine | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2007-01-08 |
| 1548217953 | Gregory Lavarr Crawford | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1457308868 | Mike P Fealy | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1366499774 | Paul Andrew Lincoln Giem | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1053360156 | California Em-i Medical Services, A Medical Corporation | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568001 | Chelsea Rose Vega | Case Manager/Care Coordinator | 2731 Nugget Aveune, Lake Isabella, CA 93240 | 2020-01-30 |
| 1891224655 | David Travis Stirling | Chiropractor | 3615 Wagon Wheel Dr, Lake Isabella, CA 93240 | 2017-06-06 |
| 1629442017 | Parinaz Khojastehfar | Pharmacist | 5530 Lake Isabella, Lake Isabella, CA 93240 | 2015-11-23 |
| 1184040610 | Joseph M Kent Dds Inc. | Dentist | 6421 Lynch Canyon Drive, Lake Isabella, CA 93240 | 2014-03-07 |
| 1720347495 | Patricia Maria Arellano | Massage Therapist | 3611 Wagon Wheel, Lake Isabella, CA 93240 | 2012-05-15 |
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1407028442 | Faith Lucille Morrison | Massage Therapist | 5540 Kern Valley Plaza, Lake Isabella Blvd, Lake Isabella, CA 93240 | 2008-03-31 |
| 1730388992 | Kent Edward Skogerson | Surgery | 4612 Laurel Ave, Lake Isabella, CA 93240 | 2007-07-17 |
| 1275749145 | Trung Nguyen | Dentist | 5640 Lake Isabella Blvd # A5, Box 3254, Lake Isabella, CA 93240 | 2007-05-15 |
| 1184840209 | Robert A Rachal | Hearing Instrument Specialist | 6040 B Lake Isabella Blvd, Lake Isabella, CA 93240 | 2007-04-17 |
| Find all providers in zip 93240 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
Please comment or provide details below to improve the information on KERN VALLEY HEALTHCARE DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.