Kenneth Dewey Childers Jr., C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

585519 Issued in CA

Practice address

99 W Portal Ave
San Francisco, CA 94127-1303

Phone

(600) 641-5661

NPI assigned

May 16, 2011

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

In Somno Securitas a Professional Nursing CorporationGroup PAC ID 6709271356, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• In Somno Securitas a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Redding, CA
  • NPI 1114686631

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Sda Services of Ca

  • Anesthesiology Physician
  • Crescent City, CA
  • NPI 1417428970
  Medicare reassignment Care Compare group
• Anesthesia Management Services of California Inc

  • Anesthesiology Physician
  • Ukiah, CA
  • NPI 1003458704

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment NPD
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Skilled Nursing Facility
  • Weaverville, CA
  • NPI 1154404010
  NPD
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Hospital Management Corporation

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1386937993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 22ND AVE UNIT 22070",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221650",
            "telephone_number": "415-290-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W PORTAL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271303",
            "telephone_number": "600-641-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "KENNETH",
        "middle_name": "DEWEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "585519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyemachi L Chikere, MD
• Akhila Chilakala, MD
• Child Therapy Institute of Marin
• Katrina Child
• Hilary Childers
• Meghan Kathleen Childers, FNP-C
• Robert G. Childers, LCSW
• Children System of Care
• Children System of Care
• Children'S Council of San Francisco

• Certified Registered Nurse Anesthetist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.