Healthcare Provider Details

I. General information

NPI: 1073446563
Provider Name (Legal Business Name): HARPREET RAI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OLD RIVER RD
BAKERSFIELD CA
93311-9781
US

IV. Provider business mailing address

8905 COSTA BLANCA DR
BAKERSFIELD CA
93314-8571
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95039893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: