MEDICARE: ASCENT DETOX CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1073460986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENT DETOX CENTER INC

Provider Business Mailing Address
First Line	:	3717 PINEHURST DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-3640
Country	:	US
Telephone Number	:	661-569-0590
Fax Number	:

Provider Business Practice Location Address
First Line	:	3717 PINEHURST DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-3640
Country	:	US
Telephone Number	:	661-569-0590
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VARDAN MINSAYAN
Credential	:	RN,BSN
Telephone Number	:	818-235-6928

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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