Healthcare Provider Details
I. General information
NPI: 1962838540
Provider Name (Legal Business Name): PAMELA JEAN WHITELEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2013
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8501 BRIMHALL RD STE 300
BAKERSFIELD CA
93312-2256
US
IV. Provider business mailing address
4580 CALIFORNIA AVE
BAKERSFIELD CA
93309-1104
US
V. Phone/Fax
- Phone: 661-387-6000
- Fax: 661-387-6893
- Phone: 661-327-4411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | PA23228 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: