NPIMap

Individual provider Active NPI

Kevin Gerard Waldron, MD

  • Neurological Surgery Physician
  • Laguna Hills, CA
National Provider Identifier
1659314540
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C147602 Issued in CA
Practice address
24022 Calle de la Plata Ste 415
Laguna Hills, CA 92653-3630
Phone
(219) 381-0846
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01060759A IN
Neurological Surgery Physician 207T00000X C147602 CA Primary
Neurological Surgery Physician 207T00000X 036.113732 IL

Addresses

Primary practice location

24022 Calle de la Plata Ste 415
Laguna Hills, CA 92653-3630

Mailing address

24022 Calle de la Plata Ste 415
Laguna Hills, CA 92653-3630
Phone (219) 381-0846

Other identifiers 4

IdentifierTypeStateIssuer
200800980MedicaidIN
0375788OtherINANTHEM
P00298697OtherINPALMETTO RR MEDICARE
129164100OtherININDIANA DEPT OF LABOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170503002825 CA Practitioner - Neurosurgery 2163466251 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

2675 Harris St
Eureka, CA 95503-4806
Phone (707) 269-0644

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C147602CAMDNeurological Surgery Physician
036.113732ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. CurrentSince May 1, 2017 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Kevin G Waldron MD Faans Apc Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Providence Medical Foundation CurrentSince Feb 18, 2026 Accepting new patients
Chaparral Medical Group Inc Neurological Surgery CurrentSince May 1, 2017 Accepting new patients
Providence Medical Foundation CurrentSince Feb 18, 2026 Accepting new patients
Frank Bender MD LLC Past Accepting new patients
Neurological & Spinal Surgery PC Neurological Surgery Past Accepting new patients

Locations

2675 Harris St
Eureka, CA 95503
Phone (707) 269-0644

24022 Calle de la Plata
Ste 415
Laguna Hills, CA 92653
Phone (949) 274-9621

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

160 E Artesia St
Ste 220
Pomona, CA 91767
Phone (909) 623-3428

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kwaldron915417@direct.memorialcare.org

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1659314540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 415",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533630",
            "telephone_number": "219-381-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 415",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533630",
            "telephone_number": "219-381-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "KEVIN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01060759A",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C147602",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.113732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800980",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0375788",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00298697",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA DEPT OF LABOR",
            "identifier": "129164100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.