Healthcare Provider Details

I. General information

NPI: 1124956008
Provider Name (Legal Business Name): BAKERSFIELD ORTHOPEDICS AND SPORTS MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 STOCKDALE HWY STE 300
BAKERSFIELD CA
93311-3611
US

IV. Provider business mailing address

9300 STOCKDALE HWY STE 300
BAKERSFIELD CA
93311-3611
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TAREN CESSNA
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 805-312-0667