Healthcare Provider Details

I. General information

NPI: 1437043791
Provider Name (Legal Business Name): COUNTY OF KERN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17801 INDUSTRIAL FARM RD
BAKERSFIELD CA
93308-9599
US

IV. Provider business mailing address

1350 NORRIS RD
BAKERSFIELD CA
93308-2231
US

V. Phone/Fax

Practice location:
  • Phone: 661-391-3100
  • Fax:
Mailing address:
  • Phone: 661-391-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE MICHELLE DEL RIO-GONZALEZ
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 661-868-6635