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Blue Shield Promise Health Plan

Primary Care Clinic/Center in Palmdale, CA · enumerated 2022 · authorized official Kristen Cerf, President & Ceo Blue Shield Ca Prom.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134880818

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Shield Promise Health Plan
Practice address 38440 5th Street West, Palmdale, CA, 93551
Fax (661) 273-2139
Enumeration date Jan 5, 2022
Last updated in NPPES Jan 5, 2022

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kristen Cerf
Title President & Ceo Blue Shield Ca Prom

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Blue Shield Promise Health Plan located?
The practice location on file with NPPES is in Palmdale, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-05.