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MR. JOHN A KENNEDY BCO NPI 1841321478


NPI Profile

NPI: 1841321478
Provider Name: MR. JOHN A KENNEDY, BCO
Classification:Technician/Technologist - 156FX1700X
Entity Type: Individual

Specialization: Ocularist

Address:
150 EL CAMINO REAL
SUITE 101
TUSTIN, CA
ZIP 92780
Get Directions

Phone: (714) 508-8565

MR. John A Kennedy, BCO is an ocularist technician technologist in Tustin, CA. MR. John A Kennedy, BCO NPI is 1841321478. 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:

150 EL CAMINO REAL
SUITE 101
TUSTIN, CA
ZIP 92780-668
Phone: (714) 508-8565
Fax: (714) 730-1894

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/1/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1700XTechnician/TechnologistOcularistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DXX00009FMEDICAIDCALIFORNIA
21212550001MEDICARE PINCALIFORNIA

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: 5/9/2021

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.