Kenneth Morris, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G79634 Issued in CA

Practice address

7910 Frost St Ste 400
San Diego, CA 92123-2753

Phone

(858) 495-0500

Fax

(858) 560-4279

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1851307144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 MURPHY CANYON RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234411",
            "telephone_number": "858-636-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST ST STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232753",
            "telephone_number": "858-495-0500",
            "fax_number": "858-560-4279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 3rd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111349",
            "country_code": "US",
            "telephone_number": "619-426-7910",
            "fax_number": "619-426-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G79634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Morris, OD
• Joshlyn Janiee Morris
• Juliette Morris, NURSE PRACTITIONER
• Kasey Nicole Morris
• Kelsey Lauren Morris
• Kimberly Michelle Morris
• Kristen Morris
• Laura Morris
• Miranda L Morris
• Phillip Daniel Morris, INDEPENDENT DUTY COR

• Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.