Kenan & Wang LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A99168 Issued in CA

Legal business name

KENAN & WANG LLC

Practice address

331 J St
Sacramento, CA 95814-2211

Phone

(916) 553-0028

Fax

(916) 553-0038

NPI assigned

Dec 9, 2008

Last updated

Dec 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenan Si, M.D.NPI 1124144266

Title

Owner

Phone

(916) 580-5249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenan Si, M.D.

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1124144266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1346485075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 BULLION WAY",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956625427",
            "telephone_number": "916-580-5249",
            "fax_number": "916-990-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142211",
            "telephone_number": "916-553-0028",
            "fax_number": "916-553-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAN & WANG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "SI",
        "authorized_official_first_name": "KENAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-580-5249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A99168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Kempke
• Melinda Kemplin, BCBA
• Steve Kempster, MSW
• Sandra Lucile Kemptner, PA-C
• Diamond Ken
• Emily Sue Kencke
• Kendall Homer D.M.D., Inc.
• Daija Kendrick
• Tea Kendrick
• Jacquelyn Endera Kendricks, MHRS

• Primary Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.