Healthcare Provider Details

I. General information

NPI: 1366290462
Provider Name (Legal Business Name): KERN SURGICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 TRUXTUN AVE
BAKERSFIELD CA
93301-5013
US

IV. Provider business mailing address

2020 TRUXTUN AVE
BAKERSFIELD CA
93301-5013
US

V. Phone/Fax

Practice location:
  • Phone: 661-570-2020
  • Fax:
Mailing address:
  • Phone: 661-570-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: JERRY CHERIYAN
Title or Position: PROVIDER
Credential: MD
Phone: 661-570-2020