Kenneth Leslie Baldwin, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G34268 Issued in CA

Practice address

1304 Ella St
Ste B-1
San Luis Obispo, CA 93401-4166

Phone

(805) 546-8662

Fax

(805) 546-8665

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Coast Orthopedic Medical Group

  • Orthopaedic Surgery Physician
  • San Luis Obispo, CA
  • NPI 1871537779
  NPD (past)
• Larry D Herron MD Inc

  • Orthopaedic Surgery Physician
  • San Luis Obispo, CA
  • NPI 1306035902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174549570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "STE B-1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014166",
            "telephone_number": "805-546-8662",
            "fax_number": "805-546-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "STE B-1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014166",
            "telephone_number": "805-546-8662",
            "fax_number": "805-546-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "KENNETH",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G34268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "G34268",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER ID NUMBER",
            "identifier": "77-0113784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Bakke, PA-C
• Natasha Bala
• Amber Lynn Balais
• Balance Treatment Slo, Inc
• Miranda Balcazar
• Larry Baldwin, M.D.
• Sheri Lynette Baldwin, P.T.
• Mike Ball, MS
• Randal Gail Ball, EDD
• Robert Vincent Ball

• Orthopaedic Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.