Individual provider Active NPI

Kathleen April Kennedy, M.D.

  • Hematology & Oncology Physician
  • Santa Maria, CA
National Provider Identifier
1528080967
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A82547 Issued in CA
Practice address
1325 E Church St Ste 301
Santa Maria, CA 93454-5915
Phone
(805) 349-9393
Fax
(805) 614-7929
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 24114 OK
Hematology & Oncology Physician 207RH0003X A82547 CA Primary

Addresses

Primary practice location

1325 E Church St Ste 301
Santa Maria, CA 93454-5915

Mailing address

1325 E Church St Ste 301
Santa Maria, CA 93454-5915
Phone (805) 349-9393

Other practice location 1

892 Aerovista Pl Ste 130
San Luis Obispo, CA 93401-8054
Phone (805) 395-3277

Other practice location 2

850 Fair Oaks Ave Ste 310
Arroyo Grande, CA 93420-3929
Phone (805) 474-5310

Other practice location 3

1064 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 316-3733

Other practice location 4

1325 E Church St Ste 202
Santa Maria, CA 93454-5915
Phone (805) 346-3456

Other identifiers 2

IdentifierTypeStateIssuer
32703OtherOKOBNDD
A82547OtherCALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000742 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0244239168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

1325 E Church St
Suite 301
Santa Maria, CA 93454-5915
Phone (805) 349-9393

Hospital & facility affiliations

  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82547CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Feb 1, 2021 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Feb 1, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
First Choice Physician Partners Hematology & Oncology Past Accepting new patients
Dignity Health Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Oklahoma Oncology & Hematology PC Hematology & Oncology Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients

Locations

850 Fair Oaks Ave
Ste 310
Arroyo Grande, CA 93420
Phone (805) 474-5310

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

715 Tank Farm Rd
Ste C
San Luis Obispo, CA 93401
Phone (805) 543-5577

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

1325 E Church St
Ste 301
Santa Maria, CA 93454
Phone (805) 349-9393

1325 E Church St
Ste 101
Santa Maria, CA 93454
Phone (805) 648-5191

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1325 E Church St
Ste 202
Santa Maria, CA 93454
Phone (805) 346-3456

2040 Viborg Rd
Ste 140
Solvang, CA 93463
Phone (805) 686-5370

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1528080967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 301",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-349-9393",
            "fax_number": "805-614-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 301",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-349-9393",
            "fax_number": "805-614-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "892 Aerovista Pl Ste 130",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018054",
            "country_code": "US",
            "telephone_number": "805-395-3277",
            "fax_number": "805-541-1203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-474-5310",
            "fax_number": "805-474-5313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 Murray Ave",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934051806",
            "country_code": "US",
            "telephone_number": "805-316-3733",
            "fax_number": "805-316-3738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 E Church St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545915",
            "country_code": "US",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHLEEN",
        "middle_name": "APRIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "24114",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A82547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "32703",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA",
            "identifier": "A82547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.