NICHOLAS J KENYON (NPI# 1689657512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689657512 |
| Entity Type | Individual |
| Full Name | NICHOLAS J KENYON |
| Credential | M.D. |
| Practice Address |
4150 V St Suite 3400 Sacramento CA 95817-1460 |
| Practice Telephone | 9167343564 |
| Mailing Telephone | 9167343564 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A064546 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A064546 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A645460 | 05 |
| Street Address |
4150 V ST SUITE 3400 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132606 | Stanley P. Sady | Anesthesiology | 4150 V St, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2005-05-31 |
| 1144856006 | Caryn Zagaynov | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2020-03-22 |
| 1710446745 | Ian Dineen Brooks | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1801355763 | Dina Attia | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1235698184 | Deepthi Lakshmi Penta | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1134625676 | Angel Mendoza | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2018-04-03 |
| 1003311929 | Katherine Desprez Wick | Internal Medicine | 4150 V St, Ste 111, Sacramento, CA 95817 | 2018-03-25 |
| 1326571795 | Louis Devoe | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-04 |
| 1841723228 | John Sun | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-04 |
| 1114459575 | Duc Phuong Le | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-03 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194816272 | Jeffry Howard Jones | Internal Medicine | 500 University Avenue, Suite 260, Sacramento, CA 95825 | 2006-09-27 |
| 1912949132 | Richard Thomas Kim | Internal Medicine | 1508 Alhambra Blvd Ste 200, Sacramento, CA 95816-6510 | 2006-06-12 |
| 1972583755 | Don M Fernandez | Internal Medicine | 1485 River Park Dr, Suite 200, Sacramento, CA 95815-4530 | 2006-01-18 |
| 1932103520 | Gibbe Hull Parsons | Internal Medicine | 2300 Stockton Blvd, Sacramento, CA 95817-2202 | 2005-06-10 |
| 1215577291 | Cep America - Intensivists PC | Internal Medicine | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2020-01-08 |
| 1962987644 | Phyllis E Napoles Md | Internal Medicine | 2800 L St Ste 200, Sacramento, CA 95816-5616 | 2018-09-28 |
| 1356617674 | Ernest Pierce Stewart IIi | Internal Medicine | 4150 V St, Suite 3400, Sacramento, CA 95817-1460 | 2012-03-30 |
| 1053547968 | Darshan Rameshchandra Dhingani | Internal Medicine | 3000 Q St Fl 2, Sacramento, CA 95816-7058 | 2009-06-05 |
| 1134367568 | Jason Yeates Adams | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2009-01-22 |
| 1013167196 | Frederick Edward Lo Ramos | Internal Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2008-09-24 |
| 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.