DR. JEFFREY KENNEDY (NPI# 1316100837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316100837 |
Entity Type | Individual |
Full Name | DR. JEFFREY KENNEDY |
Credential | MD |
Practice Address |
4860 Y St Sacramento Sacramento CA 95817-2307 |
Mailing Address |
4860 Y St, Ca 95817 Suite 100 Sacramento CA 95817 |
Practice Telephone | 9167343588 |
Enumeration Date | 2008-07-03 |
Last Update Date | 2013-08-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
125053412 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043589013 | Jeffrey R. Kennedy | Dentist | 1721 East Franklin Street, Chapel Hill, NC 27514 | 2011-12-21 |
1366889651 | Jeffrey G Kennedy | Counselor | 11440 Hamilton Ave, Suite 206, Cincinnati, OH 45231-6103 | 2013-05-28 |
1144586587 | Jeffrey Bruce Kennedy | Ophthalmology | 1145 Broadway, Seattle, WA 98122-4201 | 2012-04-10 |
1306148416 | Jeffrey Brant Kennedy | Chiropractor | 820 Jordan St, Shreveport, LA 71101-4518 | 2010-11-22 |
1235392887 | Jeffrey Robert Kennedy | Physical Therapist | 1604 1st St S, Willmar, MN 56201-4243 | 2008-07-03 |
1063450369 | Jeffrey S Kennedy | Internal Medicine | 25 Hackett Blvd, South Clinical Campus, 1st Floor, Albany, NY 12208 | 2006-06-02 |
Street Address |
4860 Y ST SACRAMENTO |
City | SACRAMENTO |
State | CA |
Zip Code | 95817-2307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629075536 | Julianna Landon Burton | Pharmacist | 4860 Y St, Sacramento, CA 95817-2307 | 2005-07-07 |
1467913954 | Brandon Victor Hassid | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2019-03-27 |
1750853230 | Mandy Michelle Stanton | Registered Nurse | 4860 Y St, Sacramento, CA 95817-2307 | 2018-12-21 |
1881176543 | Wesam Hakki Alduleme | Respiratory Therapist, Registered | 4860 Y St, Sacramento, CA 95817-2307 | 2018-08-29 |
1174020960 | Jorge Carlos Cuza | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-04-09 |
1073019089 | Obinna Chukwuemeka Oko | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-30 |
1871097956 | Jonathan C Hu | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-22 |
1508390147 | Ifeanyi Cliff Onyeji | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 3500, Sacramento, CA 95817-2307 | 2017-04-19 |
1942733720 | Nicole Sadika Yee | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-07 |
1831622869 | Mark William Evans | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
Find all providers in zip 95817 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
1194160242 | Glen C Jickling | Psychiatry & Neurology | 2805 50th St, Rm 2415, Mind Institute, University of California Davis, Sacramento, CA 95817-2312 | 2013-05-02 |
1376886606 | Katherine Park | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2013-04-04 |
1700926920 | Fred R Samimi, Md, A Professional Corporation | Psychiatry & Neurology | 8765 Center Pkwy, #d, Sacramento, CA 95823-7682 | 2007-02-07 |
1447315361 | Michael Gerald Adelberg | Psychiatry & Neurology | 9856 Business Park Dr, Suite I, Sacramento, CA 95827-1704 | 2006-12-22 |
1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
1639190556 | Bryant Neal Sheehy | Psychiatry & Neurology | 3908 J Street, Suite 4, Sacramento, CA 95819 | 2006-07-23 |
1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
1790741734 | Vasanthi Krishna | Psychiatry & Neurology | 87 Scripps Drive Suite 210, Sacramento, CA 95825-7977 | 2006-04-26 |
1407818503 | Nidal Ali Khalili | Psychiatry & Neurology | 7551 Timberlake Way, Ste 240, Sacramento, CA 95823-5422 | 2006-04-04 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95817 |
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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.