KENNETH WAYNE HART M.D. NPI 1689651671

NPI Information

NPI: 1689651671
Provider Name: KENNETH WAYNE HART, M.D.
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

PECOS Registration: Yes

Address:
1454 E 2ND ST
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 382-7146
Get Directions

Kenneth Wayne Hart, M.D. is a public health and general preventive medicine preventive medicine in San Bernardino, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Kenneth Wayne Hart, M.D. NPI is 1689651671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1454 E 2ND ST
SAN BERNARDINO, CA
ZIP 92408-118
Phone: (909) 382-7146
Fax: (909) 382-7101

The NPI 1689651671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	G019894	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G198940	OTHER	CALIFORNIA	MEDI-CAL PROVIDER NUMBER
2	00GI98941	MEDICARE PIN	CALIFORNIA
3	J891171	OTHER	CALIFORNIA	INLAND EMPIRE HEALTH PLAN
4	E25258	MEDICARE UPIN	CALIFORNIA
5	F141171	OTHER	CALIFORNIA	INLAND EMPIRE HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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