MR. JOHN A KENNEDY (NPI# 1841321478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841321478 |
| Entity Type | Individual |
| Full Name | MR. JOHN A KENNEDY |
| Credential | BCO |
| Practice Address |
150 El Camino Real Suite 101 Tustin CA 92780-3668 |
| Practice Telephone | 7145088565 |
| Practice Fax Number | 7147301894 |
| Mailing Telephone | 7145088565 |
| Mailing Fax Number | 7147301894 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DXX00009F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| 1609954270 | John M. Kennedy | Internal Medicine | 20911 Earl St., Ste. 200, Torrance, CA 90503-4353 | 2006-11-01 |
| Street Address |
150 EL CAMINO REAL SUITE 101 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881158210 | Integrated Ocular Prosthetics | Technician/Technologist | 11419 N Fowler Ave, Clovis, CA 93619-9544 | 2019-01-30 |
| 1144795105 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 1324 W. Center Ave, Visalia, CA 93291-5804 | 2018-10-05 |
| 1588139547 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 5340 Elvas Ave Ste 700, Sacramento, CA 95819-2380 | 2018-10-05 |
| 1912404609 | Erik Kolberg | Technician/Technologist | 9663 Tierra Grande St Ste 201, San Diego, CA 92126-4570 | 2018-04-09 |
| 1154498723 | Steven R Young | Technician/Technologist | 411 30th Street, Ste 512, Oakland, CA 94609-3303 | 2006-11-29 |
| 1144304544 | Daniel T. Acosta | Technician/Technologist | 635 C St, Apt. 502, San Diego, CA 92101-5381 | 2006-10-24 |
| 1962977926 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 700 Cass St Ste 126, Monterey, CA 93940-2921 | 2018-10-05 |
| 1609356898 | Dylan Bond | Technician/Technologist | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2018-08-16 |
| 1023500485 | Antonio Louis Alcorta I | Technician/Technologist | 1324 W Center Ave, Visalia, CA 93291 | 2018-06-01 |
| 1609367242 | Ricardo Angeles | Technician/Technologist | 435 N Bedford Dr Ste 411, Beverly Hills, CA 90210-4340 | 2018-05-18 |
| Find all providers with the same taxonomy | ||||
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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.