Richard Jerome Kennedy Family Practice
2020 Santa Monica Blvd, Santa Monica, CA 90404-2023


Richard Jerome Kennedy is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1457370959. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3971657115. The primary specialty is FAMILY PRACTICE. The organization is UC REGENTS. The address is 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023. The zip code is 90404.


Richard Jerome Kennedy · 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023

Nation Provider ID 1457370959
PAC ID by PECOS 3971657115
Professional Enrollment ID I20090821000442
Last Name KENNEDY
First Name RICHARD
Middle Name JEROME
Gender M
Medical School Name ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 1986
Primary Specialty FAMILY PRACTICE
Primary Specialty UC REGENTS
Phone Number 3104582381
Group Practice PAC ID 1355248584
Number of Group Practice Members 707
Address 2020 SANTA MONICA BLVD
SANTA MONICA, CA 904042023
Claims Based Hospital Affiliation Claim Control Number (CCN): 050112
Legal Business Name: SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 050262
Legal Business Name: RONALD REAGAN U C L A MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 500024
Legal Business Name: PROVIDENCE ST PETER HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 050290
Legal Business Name: PROVIDENCE SAINT JOHN'S HEALTH CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 2020
route: Santa Monica Boulevard (Santa Monica Blvd)
neighborhood, political: Mid-City
locality, political: Santa Monica
admin_level_2, political: Los Angeles County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 90404
types : premise
latitude: 34.0288531
longitude: -118.479376
latlng: (34.0288531, -118.479376)


Uc Regents · Medicare Physician

Name Address Specialty
Edward Ha 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Theodoros Kelesidis 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Merry Tetef 4746 Barranca Pkwy, Irvine, CA 92604-4728 HEMATOLOGY/ONCOLOGY
Steven Applebaum 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Amy Kehl 200 Ucla Medical Plz, Los Angeles, CA 90095-8344 RHEUMATOLOGY
Arthur Gomez 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Claudia Sanmiguel 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Andranik Madikians 10833 Leconte Ave, Los Angeles, CA 90095-3075 PEDIATRIC MEDICINE
Edward Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Vikram Kamdar 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Nasser El-okdi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Ravi Aysola 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Richard Shemin 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIAC SURGERY
Alireza Sedarat 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Adam Cavallero 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Anne Mae Climaco 200 Medical Plz, Los Angeles, CA 90095-0001 INTERNAL MEDICINE
Yu Ching Wen 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE
Elizabeth Ko 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Jeremy Moore 10833 Leconte Ave, Los Angeles, CA 90095-3075 PEDIATRIC MEDICINE
Michelle Eslami 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE

Zip 90404 · Family Practice · Medicare Physician

Name Address Specialty
Denise Freese 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Alan Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Alina Katsman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Ruth Sorotzkin 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE
Jennifer Timmons 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Manali Shendrikar 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Kerri Keslow 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Nancy Tyre 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Darren Boyer 1301 20th St, Santa Monica, CA 90404-2096 FAMILY PRACTICE
Jennifer Chang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Michael Nagata 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Stephanie Canale 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Diana Mulherin-taylor 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE
Stephane Garcia 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Michelle Sangalang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Jill Wei 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
James Murray 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Michelle Bholat 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
David Gunn 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Maryam Farazha 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE

Zip 90404 · Medicare Physician

Name Address Specialty
Bryan Yoo 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Christine Boley 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 NURSE PRACTITIONER
Brianna Cowan 1245 16th St, Santa Monica, CA 90404-1239 INTERNAL MEDICINE
Kamran Shamsa 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Kamyar Shahedi 1301 20th St, Santa Monica, CA 90404-2053 GASTROENTEROLOGY
Robert Suh 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Kristofer Jones 1250 16th St, Santa Monica, CA 90404-1249 ORTHOPEDIC SURGERY
Zhuang-ti Fang 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Mark Grossman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
William Harrell 2001 Santa Monica Blvd, Santa Monica, CA 90404-2207 INTERNAL MEDICINE
Susan Davis 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Theodore Hall 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Solemon Hakimi 2915 Santa Monica Blvd, Santa Monica, CA 90404-2438 PHYSICAL MEDICINE AND REHABILITATION
Daniel Kang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Manoochehr Yashari 1260 15th St, Santa Monica, CA 90404-1141 OBSTETRICS/GYNECOLOGY
Brian S Morris 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Anne Arikian 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
James Wang 1450 Cloverfield Blvd, Santa Monica, CA 90404-2943 PODIATRY
Geoffery O Neill 1328 22nd St, Santa Monica, CA 90404-2091 ANESTHESIOLOGY
John Uszler 2461 Santa Monica Blvd, Santa Monica, CA 90404-2138 NUCLEAR MEDICINE