Healthcare Provider Details

I. General information

NPI: 1538157508
Provider Name (Legal Business Name): SAN JOAQUIN COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 CHESTER AVE
BAKERSFIELD CA
93301-2006
US

IV. Provider business mailing address

2615 CHESTER AVE
BAKERSFIELD CA
93301-2014
US

V. Phone/Fax

Practice location:
  • Phone: 661-395-3000
  • Fax:
Mailing address:
  • Phone: 661-395-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number120000187
License Number StateCA

VIII. Authorized Official

Name: MR. JASON WELLS
Title or Position: PRESIDENT
Credential:
Phone: 661-395-3000