Individual provider Active NPI

Edward Lee Kedda

  • Family Medicine Physician
  • Whittier, CA
National Provider Identifier
1639871965
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A23255 Issued in CA
Practice address
15725 Whittier Blvd Ste 400
Whittier, CA 90603-2338
Phone
(562) 947-1669
Fax
(562) 464-5134
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A23255 CA Primary

Addresses

Primary practice location

15725 Whittier Blvd Ste 400
Whittier, CA 90603-2338

Mailing address

15725 Whittier Blvd Ste 400
Whittier, CA 90603-2338
Phone (562) 947-1669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16015 Mart Dr
La Mirada, CA 90638-4203

2568 Associated Rd
Apt 1
Fullerton, CA 92835-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20A23255CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: edwardkedda@pihh.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1639871965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD STE 400",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032338",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD STE 400",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032338",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDDA",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A23255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.