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JANET J KINKEAD D.O. NPI 1801150800


NPI Information

NPI: 1801150800
Provider Name: JANET J KINKEAD, D.O.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
393 E WALNUT ST FL 3
PASADENA, CA
ZIP 91188
Phone: (619) 629-8787
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Janet J Kinkead, D.O. is an addiction medicine family medicine in Pasadena, CA with 12 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Janet J Kinkead, D.O. NPI is 1801150800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2012

The provider's business location address is:

393 E WALNUT ST FL 3
PASADENA, CA
ZIP 91188-615
Phone: (619) 629-8787

The NPI 1801150800 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 6/25/2012 and was last updated on 12/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS13424FLORIDANo
2207Q00000XFamily MedicineOT014535PENNSYLVANIANo
3207QA0401XFamily MedicineAddiction Medicine20A14705CALIFORNIAYes

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: 11/14/2023

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.