Healthcare Provider Details

I. General information

NPI: 1881828085
Provider Name (Legal Business Name): JESSE J SAVAGE PHD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 STOCKDALE HWY STE 200
BAKERSFIELD CA
93311-3615
US

IV. Provider business mailing address

PO BOX 20752
BAKERSFIELD CA
93390-0752
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-0500
  • Fax: 661-324-0600
Mailing address:
  • Phone: 661-324-0500
  • Fax: 661-324-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number01074986A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: