JERRICKSON DANIEL AJEX PALVANNAN
NPI 1942703715
Counselor - Professional in Bakersfield, CA
About Jerrickson Daniel Ajex Palvannan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRICKSON DANIEL AJEX PALVANNAN (NPI 1942703715) is an individual professional provider in Bakersfield, California, licensed in California (LPCC19831) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerrickson Daniel Ajex Palvannan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerrickson Ajex Palvannan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAKERSFIELD, CA 93304
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 Jerrickson Ajex Palvannan's NPI number?
The NPI number for Jerrickson Ajex Palvannan is 1942703715. It was assigned to this individual provider in the NPPES registry on March 17, 2018.
Where is Jerrickson Ajex Palvannan located?
Jerrickson Ajex Palvannan practices at 425 S H St, Bakersfield, CA 93304. The listed phone number is (661) 364-6419.
What is Jerrickson Ajex Palvannan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jerrickson Ajex Palvannan enrolled in Medicare?
Yes. Jerrickson Ajex Palvannan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerrickson Ajex Palvannan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerrickson Ajex Palvannan reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerrickson Ajex Palvannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerrickson Ajex Palvannan was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Jerrickson Daniel Ajex Palvannan · NPI 1942703715
Professional provider in Bakersfield, California. Individual provider, active in the CMS NPPES registry since March 17, 2018.
## Identity
- **NPI:** 1942703715 (Entity type: Individual)
- **Enumerated:** March 17, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC19831 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 425 S H ST, Bakersfield, CA 93304-3930
- **Phone:** (661) 364-6419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cyti Health PC (NPI 1679172290, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942703715) · Data from the CMS NPPES public registry.