Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTRAL KERN NEPHROLOGY MEDICAL GROUP
NPI 1962454140
Internal Medicine - Nephrology in Bakersfield, CA

Active since May 16, 2006
5030 OFFICE PARK DR, BAKERSFIELD, CA 93309(661) 323-2847(661) 323-2261 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2021, Apr 19, 2021 (2 updates tracked since 2021).

About Central Kern Nephrology Medical Group NPPES

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

CENTRAL KERN NEPHROLOGY MEDICAL GROUP (NPI 1962454140) is a healthcare organization registered as a nephrology in Bakersfield, California and active in the NPI registry since May 2006. The organization lists Tariq Mubin, Partner, as its authorized official.

NPPES Registry Identity

NPI1962454140
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCENTRAL KERN NEPHROLOGY MEDICAL GROUP
Location Address5030 OFFICE PARK DRBakersfield, CA 93309-0612
Mailing Address5030 Office Park DrBakersfield, CA 93309-0612 · (661) 323-2847 · Fax (661) 323-2261
Fax(661) 323-2261
Organization SubpartNo
Authorized OfficialTariq MubinPartner · (661) 323-2847
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1962454140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A35716
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5030 OFFICE PARK DR, Bakersfield, CA 93309

Other Names 1

Doing Business AsCentral Kern Nephrology Medical Group

Other Identifiers 1

MedicaidGR0007980CA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Kern Nephrology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050812000984Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Central Kern Nephrology Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1760666226
5030 OFFICE PARK DR
Bakersfield, CA 93309
(661) 323-2847
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881274405
5030 OFFICE PARK DRIVE
Bakersfield, CA 93309
(661) 323-2847
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730961012
5030 OFFICE PARK DR
Bakersfield, CA 93309
(661) 323-2847
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1720036692
5030 OFFICE PARK DR.
Bakersfield, CA 93309
(661) 323-2847
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1275580367
5030 OFFICE PARK DR
Bakersfield, CA 93309
(661) 323-2847
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1316938178
443 W MORTON AVE STE A
Porterville, CA 93257
(559) 788-6340
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1700330891
1322 E SHAW AVE STE 410
Fresno, CA 93710
(559) 226-1316
✔ PECOS107 mi
Nurse Practitioner
NPI 1568657302
925 E POLSTON AVE
Post Falls, ID 83854
(208) 620-5250
✔ PECOS✔ Accepts Medicare859 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Central Kern Nephrology Medical Group's NPI number?

The NPI number for Central Kern Nephrology Medical Group is 1962454140. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Central Kern Nephrology Medical Group located?

Central Kern Nephrology Medical Group is located at 5030 Office Park Dr, Bakersfield, CA 93309. The listed phone number is (661) 323-2847.

What is Central Kern Nephrology Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Central Kern Nephrology Medical Group enrolled in Medicare?

Yes. Central Kern Nephrology Medical Group is registered in the Medicare PECOS enrollment system.

When is Central Kern Nephrology Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Central Kern Nephrology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Central Kern Nephrology Medical Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Nephrology (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Kern Nephrology Medical Group was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.