Individual provider Active NPI

Kenneth D'Oyen, MD

  • Psychiatry Physician
  • North Hills, CA
National Provider Identifier
1962899062
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A150120 Issued in CA
Practice address
16111 Plummer St
BLDG 10 MC 116A3
North Hills, CA 91343
Phone
(818) 895-9349
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A150120 CA Primary
Psychiatry Physician 2084P0800X MD496489 PA
Psychiatry Physician 2084P0800X 2025046542 MO

Addresses

Primary practice location

16111 Plummer St
BLDG 10 MC 116A3
North Hills, CA 91343

Mailing address

3112 Hermosa Ave
La Crescenta, CA 91214-3711
Phone (747) 200-6111

Other practice location 1

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (888) 227-3898

Other practice location 2

424 Savannah Rd
Lewes, DE 19958-1462
Phone (877) 442-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, DE3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171024002258 CA Practitioner - Psychiatry 9335415082 Reassigns benefits to 4 organizations
I20260520004172 MO Practitioner - Psychiatry 9335415082 Reassigns benefits to 2 organizations
I20260525000000 DE Practitioner - Psychiatry 9335415082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Huntington Medical FoundationGroup PAC ID 4587631601, 46 clinicians
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians
San Fernando Community HospitalGroup PAC ID 7719298728, 11 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-8369

12303 Depaul Dr
SSM Health Depaul Hospital Physician Billin
Bridgeton, MO 63044-2512
Phone (314) 344-6000

732 Mott St
San Fernando, CA 91340-4237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150120CAMDPsychiatry Physician
2025046542MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 1, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
The Huntington Medical Foundation Psychiatry CurrentSince Nov 27, 2025 Accepting new patients
Grow Healthcare Group PC Psychiatry CurrentSince Mar 22, 2025 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
San Fernando Community Hospital Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kennethd'oyen@148377.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1962899062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 HERMOSA AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143711",
            "telephone_number": "747-200-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST",
            "address_2": "BLDG 10 MC 116A3",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-895-9349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "888-227-3898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "877-442-0042",
            "fax_number": "856-861-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'OYEN",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A150120",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD496489",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2025046542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.