Healthcare Provider Details

I. General information

NPI: 1275841629
Provider Name (Legal Business Name): ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W E ST
TEHACHAPI CA
93561-1607
US

IV. Provider business mailing address

PO BOX 845755
LOS ANGELES CA
90084-5755
US

V. Phone/Fax

Practice location:
  • Phone: 661-823-1622
  • Fax: 661-823-1594
Mailing address:
  • Phone: 661-771-8600
  • Fax: 661-771-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number120000188
License Number StateCA

VIII. Authorized Official

Name: JASON WELLS
Title or Position: PRESIDENT
Credential:
Phone: 661-863-3180