Richard Jerome Kennedy
Family Medicine

Address: 200 Medical Plaza, Los Angeles, CA 90095
Phone: 3108256301

Richard Jerome Kennedy (NPI# 1457370959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1457370959
Entity Type Individual
Full Name Richard Jerome Kennedy
Credential MD
Gender Male
Practice Address 200 Medical Plaza
Los Angeles
CA 90095
Practice Telephone 3108256301
Mailing Address 5767 W Century Blvd
Suite 200
Los Angeles
CA 90045-5632
Mailing Telephone 3108287172
Mailing Fax Number 3103947807
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-18
Last Update Date 2010-06-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians G62092 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00G620920 MEDICAID

Other Providers RICHARD KENNEDY

NPI Name Taxonomy Address Enumeration
1629519574 Richard Kennedy Physician Assistant 20 Harwood Dr, Harwood, MD 20776-9771 2017-03-12
1104045947 Richard P Kennedy Physical Therapist 25 Braintree Hill Office Park, Braintree, MA 02184-8702 2007-04-24
1285859744 Richard P Kennedy Radiology 1771 Deer Run Rd, Bethlehem, PA 18015-5002 2007-04-17
1578689493 Richard D Kennedy Family Medicine 96 Integrity Dr Ste H, Hebron, OH 43025-7013 2007-03-22
1548398654 Richard F Kennedy Social Worker 6435 E. Broad St Suite A, Children's Hospital Guidance Center, Columbus, OH 43213 2007-03-01
1285720391 Richard George Kennedy Dentist 27180 Newport Road Suite 1, Menifee, CA 92584-2248 2006-10-05
1720092935 Richard C. Kennedy Jr. Dentist 1791 Oak Ave, Suite A, Davis, CA 95616-1073 2006-07-27
1487668513 Richard L Kennedy Pain Medicine 1250 S Sunset Ave # 100-b, West Covina, CA 91790-3961 2006-07-27
1942225313 Richard Thomas Kennedy Family Medicine 169 North Second Ave, Hartford, AL 36344 2006-07-13
1558311951 Richard W. Kennedy Dentist 1246 Nilles Rd, Suite 3, Fairfield, OH 45014-2912 2006-05-10

Physician Overview

NPI 1457370959
PAC ID by PECOS 3971657115
Professional Enrollment ID I20090821000442
Full Name Richard Jerome Kennedy
Organization Legal Name UC REGENTS
Phone Number 3104582381
Gender M
Medical School ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 1986
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1355248584
Number of Group Practice Members 824
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050112 SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
050262 RONALD REAGAN U C L A MEDICAL CENTER

Office Location

Street Address 200 MEDICAL PLAZA
City LOS ANGELES
State CA
Zip Code 90095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952379513 Lloyd S Miller Dermatology 200 Medical Plaza, #450, Los Angeles, CA 90095-3075 2006-03-09
1164912267 Alice K Lee Nurse Practitioner 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-05-14
1295239895 James Michael Weinberger Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-03-20
1487065777 Scott Robert Boynton Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-6628 2014-05-08
1487064564 Navid Darouian Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90024-0001 2014-04-29
1518386796 Donald Elmore Dietz Iv Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90045-5631 2014-04-15
1760825590 Connie Huey Lin Student in an Organized Health Care Education/Training Program 200 Medical Plaza, # 365, 420, 120, Los Angeles, CA 90024-0001 2013-04-11
1447593645 Yue Ma Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 2013-04-05
1710229281 Juveria Abdullah Hospitalist 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90095 2013-03-22
1295098283 Ingrid Edshteyn Preventive Medicine 200 Medical Plaza, Sutie 365,420,120, Los Angeles, CA 90024-0001 2012-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1952894487 Tony Chan Optometrist 200 Stein Plaza Ds-124, Los Angeles, CA 90095 2018-06-09
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
1720583560 Shire Lynn Beach Student in an Organized Health Care Education/Training Program Ucla Medicine Education Office, Rrucla Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA 90095 2018-03-26
1619471661 Abigail Rose Olson Arons Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Medicine-pediatrics, Los Angeles, CA 90095 2018-03-22
1184128688 Nima Moaven Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave Fl 2, Los Angeles, CA 90095 2018-03-20
1487156428 Merdie Kristine Delfin Nurse Practitioner 200 Medical Plaza 140, Los Angeles, CA 90095 2018-03-06
1346742947 Oscar Rinon Jr. Specialist/Technologist 2131 John Wooden Center, Los Angeles, CA 90095 2018-02-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386110732 La Clinica De Los Angeles Medical Group Apc Family Medicine 1021 W Martin Luther King Jr Blvd, Los Angeles, CA 90037-1816 2018-10-23
1619442670 Sarita Sungcheu Family Medicine 635 S Westlake Ave Ste 204, Los Angeles, CA 90057-3508 2018-10-05
1740773530 Malia Dadsetan Family Medicine 1720 East Cesar Chavez E Avenue, Los Angeles, CA 90033 2018-06-07
1366934770 Hmt Urgent Care Inc Family Medicine 1407 N Vermont Ave Ste B, Los Angeles, CA 90027-6023 2018-05-31
1740788702 Michael Karagas, M.d., P.C. D/b/a/ Keeps Medical Group Family Medicine 7083 Hollywood Blvd Fl 1, Los Angeles, CA 90028-8901 2018-01-24
1053826263 Larchmont Medical Center and Urgent Care PC Family Medicine 321 N Larchmont Blvd Ste 404, Los Angeles, CA 90004-6404 2017-12-11
1760910210 Sculpt Dtla Family Medicine 705 S Olive St Ste A, Los Angeles, CA 90014-2642 2017-05-30
1508392788 Beverly Atlantic Medical Center Inc Family Medicine 5627 E Beverly Blvd, Los Angeles, CA 90022-2803 2017-05-07
1063959757 One West Medical Group Family Medicine 440 Shatto Pl Ste 419, Los Angeles, CA 90020-1714 2017-01-19
1467805739 Than Luu, M.d., Inc. Family Medicine 709 N Hill St Ste 18, Los Angeles, CA 90012-2352 2016-07-21
Find all providers in LOS ANGELES

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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