Kenneth K. Wogensen, MD. Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G52870 Issued in CA

Legal business name

KENNETH K. WOGENSEN, MD. INC

Practice address

1015 North First Avenue
Suite a
Arcadia, CA 91006-2534

Phone

(626) 566-2866

Fax

(626) 566-2850

NPI assigned

Mar 14, 2006

Last updated

Mar 7, 2023By 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. Kenneth K Wogensen, MDNPI 1932109295

Title

President

Phone

(626) 566-2866

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Kenneth Karl Wogensen, MD

  • Neurology Physician
  • Arcadia, CA
  • NPI 1932109295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649249616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NORTH FIRST AVENUE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062534",
            "telephone_number": "626-566-2866",
            "fax_number": "626-566-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NORTH FIRST AVENUE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062534",
            "telephone_number": "626-566-2866",
            "fax_number": "626-566-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K. WOGENSEN, MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "WOGENSEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-566-2866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G52870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G52870",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ARCADIA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ARCADIA",
            "address_1": "1015 North First Avenue",
            "address_2": "Suite A",
            "city": "Arcadia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910062534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nextgen",
            "affiliation": "N",
            "endpointDescription": "PACIS",
            "address_1": "1015 North First Avenue",
            "address_2": "Suite A",
            "city": "Arcadia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910062534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kohar Kelkelyan, LCSW
• Sarah Lee Kendall, MS, LMFT
• Kendric R. Kajikawa, O.D. Inc
• Michael Kennedy, L.C.S.W.
• Taliza Kennedy
• Kenneth Shan MD Inc
• Kenneth W. Cheng and Sookhyun Kim, DDS, Inc.
• Kenneth Y. Huang, M.D., Inc.
• Anait Keorhagian
• Catherine Kestenian

• Neurology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.