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
Jonathan Wanagat 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GERIATRIC MEDICINE
Mark Ovsiowitz 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Stephanie Bui 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Aashini Master 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Cynthia Barrett 10833 Leconte Ave, Los Angeles, CA 90095-3075 PEDIATRIC MEDICINE
Ragu Sivarajan 100 Moody Ct, Thousand Oaks, CA 91360-6082 INTERNAL MEDICINE
Michael Lazarus 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Piyush Nayyar 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Christopher Tymchuk 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Stephen Samuel Weigt 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE
Alexander Black 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Peter Lefevre 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
John Belperio 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE
Allison Diamant 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Jerome Greenberg 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Kellie Lim 100 Moody Ct, Thousand Oaks, CA 91360-6082 ALLERGY/IMMUNOLOGY
Suzanne Mcdiarmid 10833 Leconte Ave, Los Angeles, CA 90095-3075 GASTROENTEROLOGY
Teresa Soriano 200 Medical Plz, Los Angeles, CA 90095-0001 DERMATOLOGY
Angelica Zen 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Jonathan Quach 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE

Zip 90404 · Family Practice · Medicare Physician

Name Address Specialty
Mark Needham 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Jennifer Timmons 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Ann Ryan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Timothy Weiss 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Benjamin Gilmore 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Stephen Ross 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Shirley Uy 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Denise Freese 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Michelle Sangalang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Monica Plesa 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Jennifer Chang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Patrick Dowling 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Lillian Gelberg 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Alina Katsman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
David Wallenstein 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Manali Shendrikar 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Nancy Tsoi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Brian Lichtenstein 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Alan Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Velinda Paranal 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE

Zip 90404 · Medicare Physician

Name Address Specialty
Rob Kassan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Cynthia Wood 1421 16th St, Santa Monica, CA 90404-2747 PHYSICAL THERAPY
Debika Bhattacharya 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Minisha Kochar 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Christine Trieu 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Romana Haider 2428 Santa Monica Blvd, Santa Monica, CA 90404-2047 GENERAL PRACTICE
Erfan Nadji 1301 20th St, Santa Monica, CA 90404-2052 OPHTHALMOLOGY
Schehrezade Khan 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Emily Methangkool 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Bernard Weintraub 2001 Santa Monica Blvd, Santa Monica, CA 90404-2184 PULMONARY DISEASE
Sherry Yafai 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 EMERGENCY MEDICINE
David Ross 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE
James Murray 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Yi-kong Keung 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Terri Getzug 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Arash Nikoukari 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Karol Watson 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Ramtin Anousheh 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Valeri Yarema 2001 Santa Monica Blvd, Santa Monica, CA 90404-2184 NEUROLOGY
Gurveen Sandhu 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE