Provider Demographics
NPI:1477367209
Name:BAKERSFIELD HEALTHCARE INC
Entity type:Organization
Organization Name:BAKERSFIELD HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PANCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:951-314-1518
Mailing Address - Street 1:8811 CASELLA ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-8596
Mailing Address - Country:US
Mailing Address - Phone:951-314-1518
Mailing Address - Fax:
Practice Address - Street 1:2700 F ST STE 200
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1849
Practice Address - Country:US
Practice Address - Phone:951-314-1518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy