Kenneth Saavedra Saldua, NP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95013934 Issued in CA

Practice address

1272 Center Court Dr Ste 103
Covina, CA 91724-3667

Phone

(951) 404-0701

Fax

(951) 639-6073

NPI assigned

Dec 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Medi Psych Services IncGroup PAC ID 3870908320, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Medi Psych Services Inc

  • Child & Adolescent Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1326665316
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• The Kenthouse

  • Psychiatric/Mental Health Nurse Practitioner
  • Temecula, CA
  • NPI 1316744626
  NPD Authorized official
• Prompt Laboratories Inc

  • Clinical Medical Laboratory
  • Riverside, CA
  • NPI 1174250112
  NPD
• De la Llana Medical Group Inc

  • General Practice Physician
  • Hemet, CA
  • NPI 1457227688
  NPD (past)
• Las Palmas Medical Group

  • General Practice Physician
  • Hemet, CA
  • NPI 1164503652
  NPD (past)

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1730728742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24448 RESERVE CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925840364",
            "telephone_number": "909-964-3951",
            "fax_number": "951-639-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR STE 103",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "951-404-0701",
            "fax_number": "951-639-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24448 Reserve Ct",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925840364",
            "country_code": "US",
            "telephone_number": "909-964-3951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41593 Winchester Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904857",
            "country_code": "US",
            "telephone_number": "951-404-0701",
            "fax_number": "951-639-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALDUA",
        "first_name": "KENNETH",
        "middle_name": "SAAVEDRA",
        "credential": "NP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013934",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95042465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Ann Salazar
• Stacy Salazar
• Carla Patricia Saldana
• Andrea Saldate
• Arturo Andres Saldivar
• Mona Salehi, M.S., LEP
• Sylvia A Salem, DDS
• Elizabeth Salgado, BA
• Naomie Krystel Salgado
• Stephanie Salgado

• Psychiatric/Mental Health Nurse Practitioner in Covina, CA
• Providers in Covina, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.