Healthcare Provider Details

I. General information

NPI: 1386503134
Provider Name (Legal Business Name): GOLDEN COAST PSYCHIATRY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6077 COFFEE RD
BAKERSFIELD CA
93308-9416
US

IV. Provider business mailing address

6077 COFFEE RD STE 4 PMB 1014
BAKERSFIELD CA
93308-9417
US

V. Phone/Fax

Practice location:
  • Phone: 831-420-7951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSE ZACHARIAH GODFREY
Title or Position: FOUNDER
Credential: DO
Phone: 831-219-8453