KENNETH EARL HOLLIMAN M.D. NPI 1861445645

NPI Information

  • NPI: 1861445645
  • Provider Name: KENNETH EARL HOLLIMAN, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 23600 TELO AVE STE 250
    TORRANCE, CA
    ZIP 90505
  • Phone: (310) 375-8446

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NPI Details

Kenneth Earl Holliman, M.D. is an obstetrics gynecology in Torrance, CA with 50 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Kenneth Earl Holliman, M.D. NPI is 1861445645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1976

The provider's business location address is:

23600 TELO AVE STE 250
TORRANCE, CA
ZIP 90505-037
Phone: (310) 375-8446
Fax: (310) 602-5053

The NPI 1861445645 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (HCPCS:58571)
  • Release of scar tissue at ureter (HCPCS:50715)
  • Surgical repair of vaginal defect using an endoscope (HCPCS:57425)
  • Removal of uterus, cervix, and lymph nodes of pelvis with biopsy of aortic lymph node using an endoscope (HCPCS:58548)
  • Repair of bladder hernia into vaginal wall (HCPCS:57240)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/13/2020.

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
1207V00000XObstetrics & GynecologyC39719CALIFORNIAYes

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
11568604965MEDICAIDCALIFORNIA

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

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