Active NPI
Johanna Olson-Kennedy Apmc
- Pediatric Adolescent Medicine Physician
- Pasadena, CA
National Provider Identifier
1194658138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- JOHANNA OLSON-KENNEDY APMC
- Practice address
- 301 S Fair Oaks Ave Ste 105
Pasadena, CA 91105-2536 - Phone
- (866) 846-5062
- NPI assigned
- Jun 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johanna L Olson-Kennedy, MD
- Title
- Owner
- Phone
- (323) 399-1087
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | Primary |
Addresses
Primary practice location
301 S Fair Oaks Ave Ste 105
Pasadena, CA 91105-2536
Mailing address
1107 Fair Oaks Ave # 803
South Pasadena, CA 91030-3311
Phone (626) 740-5302
Other names 1
- Axiana
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Pasadena, CA
- NPI 1396831665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1194658138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 FAIR OAKS AVE # 803",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303311",
"telephone_number": "626-740-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE STE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052536",
"telephone_number": "866-846-5062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHANNA OLSON-KENNEDY APMC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-08",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "OLSON-KENNEDY",
"authorized_official_first_name": "JOHANNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-399-1087",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Axiana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.