KENNETH WAYNE HART M.D. NPI 1689651671

NPI Information

  • NPI: 1689651671
  • Provider Name: KENNETH WAYNE HART, M.D.
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1454 E 2ND ST
    SAN BERNARDINO, CA
    ZIP 92408
  • Phone: (909) 382-7146

Map and Directions

Get Directions

NPI Details

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
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineG019894CALIFORNIAYes

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
100G198940OTHERCALIFORNIAMEDI-CAL PROVIDER NUMBER
200GI98941MEDICARE PINCALIFORNIA
3J891171OTHERCALIFORNIAINLAND EMPIRE HEALTH PLAN
4E25258MEDICARE UPINCALIFORNIA
5F141171OTHERCALIFORNIAINLAND 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI