Organization
KERN PHYSICIANS MEDICAL GROUP
Active
Other names
Kern Physicians Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAKHRUDDIN HASTA M.D. (PRESIDENT)
(611) 322-8611
Entity
Organization
Contact information
Practice address
606 34TH ST, BAKERSFIELD, CA 93301-2208
(661) 322-8611
(661) 322-8008
Mailing address
PO BOX 669, BAKERSFIELD, CA 93302-0669
(661) 322-8611
(661) 322-8008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A50871
CA
207RI0200X
Infectious Disease Physician
A63225
CA
208D00000X
General Practice Physician
20A5922
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
20A9285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2861245
CORPORATE NUMBER
CA
Enumeration date
06/26/2006
Last updated
09/11/2025
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