Individual provider Active NPI

Kristen A Wendorf, MD

  • Pediatrics Physician
  • Richmond, CA
National Provider Identifier
1992021596
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A118440 Issued in CA
Practice address
850 Marina Bay Parkway
Building P, 2ND Floor
Richmond, CA 94804-6403
Phone
(847) 571-6201
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A118440 CA Primary

Addresses

Primary practice location

850 Marina Bay Parkway
Building P, 2ND Floor
Richmond, CA 94804-6403

Mailing address

850 Marina Bay Parkway
Building P, 2ND Floor
Richmond, CA 94804-6403
Phone (847) 571-6201

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504000207 CA Practitioner - Pediatric Medicine 3274897954 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118440CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Dec 16, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco CurrentSince Jan 13, 2022 Accepting new patients
University of California San Francisco CurrentSince Jan 13, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 16, 2021 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

850 Marina Bay Pkwy
Richmond, CA 94804
Phone (510) 307-8575

850 Marina Bay Pkwy
Bldg P
Richmond, CA 94804
Phone (510) 620-3056

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

505 Parnassus Ave
#110
San Francisco, CA 94143
Phone (415) 476-5001

521 Parnassus Ave
Fl 7
San Francisco, CA 94143
Phone (415) 353-1238

Interoperability endpoints

  • Direct secure messaging: kwendorf11050@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1992021596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PARKWAY",
            "address_2": "BUILDING P, 2ND FLOOR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "847-571-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PARKWAY",
            "address_2": "BUILDING P, 2ND FLOOR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "847-571-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDORF",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A118440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.