Healthcare Provider Details

I. General information

NPI: 1255260253
Provider Name (Legal Business Name): CORE CHW ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 TRIPLE CROWN DR
BAKERSFIELD CA
93312-5126
US

IV. Provider business mailing address

4605 TRIPLE CROWN DR
BAKERSFIELD CA
93312-5126
US

V. Phone/Fax

Practice location:
  • Phone: 661-858-6989
  • Fax: 661-684-5111
Mailing address:
  • Phone: 661-858-6989
  • Fax: 661-684-5111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: ANABEL GRIFFIN
Title or Position: DIRECTOR
Credential: GRIFFIN
Phone: 661-684-5111