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KEVORK BOULDOUKIAN, M.D., INC.
NPI 1619248523
Internal Medicine in Bakersfield, CA

Active since January 24, 2012CLIA 05D0949912 · Waiver
2128 TRUXTUN AVE, BAKERSFIELD, CA 93301(661) 633-9080(661) 633-9081 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevork Bouldoukian, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVORK BOULDOUKIAN, M.D., INC. (NPI 1619248523) is a healthcare organization registered as an internal medicine in Bakersfield, California and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Kevork Bouldoukian, Owner, as its authorized official.

NPPES Registry Identity

NPI1619248523
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEVORK BOULDOUKIAN, M.D., INC.
Location Address2128 TRUXTUN AVEBakersfield, CA 93301-3702
Mailing Address2128 Truxtun AveBakersfield, CA 93301-3702 · (661) 633-9080 · Fax (661) 633-9081
Phone(661) 633-9080
Fax(661) 633-9081
Organization SubpartNo
Authorized OfficialKevork BouldoukianOwner · (661) 633-9080
Enumeration DateJanuary 24, 2012
Last NPPES UpdateDecember 31, 2012
✔ NPI 1619248523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A55931
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2128 TRUXTUN AVE, Bakersfield, CA 93301
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Other Identifiers 2

OtherGF042ACA · Ptan
Medicare UPIN00A55931CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0949912

Kevork Bouldoukian, MD · Bakersfield, CA
Active · expires Aug 12, 2026
CLIA Number05D0949912
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorKevork A. Bouldoukian MD
Laboratory Phone(661) 633-9080
Laboratory LocationKevork Bouldoukian, MD2128 Truxtun Avenue, Bakersfield, CA 93301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR HORMONAL WELLNESS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2128 TRUXTUN AVE
BAKERSFIELD, CA 93301
Kern County (661) 633-9080
DR. KEVORK A. BOULDOUKIAN M.D.
Internal Medicine
2128 TRUXTUN AVE
BAKERSFIELD, CA 93301
Kern County (661) 633-9080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevork Bouldoukian, M.D., Inc.'s NPI number?

The NPI number for Kevork Bouldoukian, M.D., Inc. is 1619248523. It was assigned to this organization in the NPPES registry on January 24, 2012.

Where is Kevork Bouldoukian, M.D., Inc. located?

Kevork Bouldoukian, M.D., Inc. is located at 2128 Truxtun Ave, Bakersfield, CA 93301. The listed phone number is (661) 633-9080.

What is Kevork Bouldoukian, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Kevork Bouldoukian, M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0949912) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kevork Bouldoukian, M.D., Inc. was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.