Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Form Health Associates, PC

Organization Family Medicine Physician · NPI 1801615752

Form Health Associates, PC is a Family Medicine Physician in Bakersfield, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4900 California Ave Tower B 2nd Fl
Bakersfield, CA 93309-7024
Phone: (617) 505-1520
Fax: (617) 928-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1801615752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nam Kim — President · (617) 505-1520
NPI enumeratedOctober 8, 2024
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address109 State St, 5th Fl, Boston, MA 02109-2906

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