Active NPIOrganization

Form Health Associates, P.c.

Internal Medicine, Endocrinology, Diabetes & Metabolism in Bakersfield, California

NPI Number1043835044
Practice location
4900 California Avenue, Tower B, 2ND Floor, Bakersfield, CA 93309-7024
Fax
617-928-8401
Last updated
March 18, 2026

Form Health Associates, P.c. is a healthcare organization based in Bakersfield, CA. Form Health Associates, P.c. practices in Bakersfield, CA. The NPI Number for Form Health Associates, P.c. is 1043835044. The current practice location address for Form Health Associates, P.c. is 4900 California Avenue, Tower B, 2ND Floor, Bakersfield, CA 93309-7024 and can be reached out via phone at 617-505-1520 and via fax at 617-928-8401.

Provider Profile Details

NPI Number
1043835044
Provider Name
Form Health Associates, P.c.
Provider Entity Type
Organization
Address
4900 California Avenue, Tower B, 2ND Floor, Bakersfield, CA 93309-7024
Phone Number
617-505-1520
Fax Number
617-928-8401
Organization Subpart
No
Authorized Official
Nam Ho Kim, MD · President · 617-505-1520
Provider Enumeration Date
June 15, 2020
Last Update Date
March 18, 2026
Certification Date
March 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309-7024
Zip
93309-7024
Phone Number
617-505-1520
Fax Number
617-928-8401
Bakersfield, CA 93309Get directions →

Provider Business Mailing Address Details

Address
109 State Street
5TH Fl
Boston, MA 02109-2906
City
Boston
State
MA
Zip
02109-2906
Phone Number
617-505-1520
Fax Number
617-928-8401

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine, Endocrinology, Diabetes & Metabolism providers near Bakersfield, CA

View all Internal Medicine, Endocrinology, Diabetes & Metabolism providers in Bakersfield →

Frequently Asked Questions

What is the NPI number of Form Health Associates, P.c.?

The NPI number of Form Health Associates, P.c. is 1043835044. It was assigned on June 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Form Health Associates, P.c.?

Form Health Associates, P.c. is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X).

Where does Form Health Associates, P.c. practice?

The practice location is 4900 California Avenue, Tower B, 2ND Floor, Bakersfield, CA 93309-7024. The office can be reached at 617-505-1520 (phone) or 617-928-8401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043835044 directly on the NPPES registry website.

Browse related providers