MEDICARE: KERN RIVER VALLEY INDIAN HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	1041C0700X	Clinical Social Worker
3	251J00000X	Nursing Care Agency
4	251X00000X	Supports Brokerage Agency
5	251B00000X	Case Management Agency
6	332U00000X	Home Delivered Meals
7	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
8	171W00000X	Contractor
9	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1518705425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KERN RIVER VALLEY INDIAN HEALTH SERVICES

Provider Business Mailing Address
First Line	:	501 40TH ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-5845
Country	:	US
Telephone Number	:	661-327-4030
Fax Number	:

Provider Business Practice Location Address
First Line	:	12308 MOUNTAIN MESA RD
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240
Country	:	US
Telephone Number	:	661-327-4030
Fax Number	:

Authorized Official
Title or Position	:	GRANT PROGRAM ANALYST
Name	:	SHUBHANGI SHRIVASTAVA
Credential	:
Telephone Number	:	661-203-4428

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	05/11/2026

Similar Medicare Providers

1174684583 — SIENNA MEDICAL CORPORATION
Practice Location Address:

6425 LYNCH CYN BLVD
LAKE ISABELLA, CA
93240

Practice Phone: 760-379-8630
Practice Fax: 760-379-7658

1306774484 — SARA LOBRE RN
Practice Location Address:

3240 ERSKINE CREEK RD
LAKE ISABELLA, CA
93240-9608

Practice Phone: 760-379-0650
Practice Fax:

1336078666 — NEOMI FLORES
Practice Location Address:

3240 ERSKINE CREEK RD
LAKE ISABELLA, CA
93240-9608

Practice Phone: 760-379-4863
Practice Fax:

1447189584 — NATHANIEL CHAVEZ I
Practice Location Address:

2810 NUGGET AVE
LAKE ISABELLA, CA
93240-9494

Practice Phone: 760-379-3651
Practice Fax:

1396474730 — VICKI A. BRAS ACSW
Practice Location Address:

2731 NUGGET AVE
LAKE ISABELLA, CA
93240-9456

Practice Phone: 760-379-3412
Practice Fax:

1477480127 — ROCIO GARCIA
Practice Location Address:

2810 NUGGET AVE
LAKE ISABELLA, CA
93240-9494

Practice Phone: 760-379-2621
Practice Fax:

Directions to “KERN RIVER VALLEY INDIAN HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.