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
Stanley Nelson 10833 Leconte Ave, Los Angeles, CA 90095-3075 PEDIATRIC MEDICINE
Deborah Mccurdy 10833 Le Conte Ave, Los Angeles, CA 90095-3075 PEDIATRIC MEDICINE
George Sarantopoulos 100 Medical Plz, Los Angeles, CA 90095-0001 DERMATOLOGY
Joshua Rosenberg 200 Medical Plz, Los Angeles, CA 90095-0001 HEMATOLOGY/ONCOLOGY
Ronald Tsao 200 Medical Plz, Los Angeles, CA 90095-0001 INTERNAL MEDICINE
Irawan Susanto 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE
Robert Roberts 10833 Le Conte Ave, Los Angeles, CA 90095-3075 ALLERGY/IMMUNOLOGY
Lisa Quane 101 The City Dr S, Orange, CA 92868-3201 DIAGNOSTIC RADIOLOGY
Paul Krogstad 10833 Le Conte Ave, Los Angeles, CA 90095-3075 PEDIATRIC MEDICINE
Reena Patel 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Nasser El-okdi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Jeffrey Conklin 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Reza Khorsan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NEPHROLOGY
Kevin Ghassemi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Brian S Morris 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Amy Chow 2655 1st St, Simi Valley, CA 93065-1551 ENDOCRINOLOGY
Rajan Patel 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Stephanie Canale 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Ira Kurtz 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NEPHROLOGY
Malcolm Smith 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE

Zip 90404 · Family Practice · Medicare Physician

Name Address Specialty
Mona Cho 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Nancy Tsoi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Patricia Chang 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Terence Hammer 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
James Murray 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Michelle Sangalang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Theodore Hak 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Ann Ryan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Daina Danovitch 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Steven Seizer 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Jennifer Timmons 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Grace Tassa 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Benjamin Gilmore 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Youhualli Anaya 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Lawrence Dardick 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Mark Needham 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Denise Freese 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Raouf Hallis 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Arthur Ohannessian 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Brent Michael 2001 Santa Monica Blvd, Santa Monica, CA 90404-2110 FAMILY PRACTICE

Zip 90404 · Medicare Physician

Name Address Specialty
Marcia Weintraub 1328 22nd St, Santa Monica, CA 90404-2091 ANESTHESIOLOGY
Maggy Riad 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Michelle Eslami 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Mark Mcgowan 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 INTERNAL MEDICINE
James Louie 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 RHEUMATOLOGY
Nir Hoftman 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Jennifer Linehan 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 UROLOGY
Joseph Meltzer 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
James Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Sandra Fallon 2001 Santa Monica Blvd, Santa Monica, CA 90404-2191 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Serena Wang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Yi-kong Keung 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Neesa Patel 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
John Finn 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Joshua Goldman 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Jonathan Kohl 1328 22nd St, Santa Monica, CA 90404-2091 ANESTHESIOLOGY
Richard Wright 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Otto Yang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Briaj Bista 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Kamran Shamsa 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)