Healthcare Provider Details

I. General information

NPI: 1598683385
Provider Name (Legal Business Name): NEW ARISING DESTINY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 NEW STINE RD
BAKERSFIELD CA
93309-2949
US

IV. Provider business mailing address

912 NEW STINE RD
BAKERSFIELD CA
93309-2949
US

V. Phone/Fax

Practice location:
  • Phone: 661-837-4908
  • Fax:
Mailing address:
  • Phone: 661-837-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA ACEVES
Title or Position: ADMINISTRATOR
Credential:
Phone: 661-474-5298