DR. KENNY BAINS (NPI# 1104358571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104358571 |
| Entity Type | Individual |
| Full Name | DR. KENNY BAINS |
| Credential | M.D. |
| Practice Address |
3100 Douglas Blvd Roseville CA 95661-3866 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 9167748300 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A163717 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3100 DOUGLAS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090945 | Craig C Corp | Pediatrics | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2005-06-01 |
| 1568007441 | Bei Bei Lee | Physician Assistant | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2019-11-14 |
| 1023661501 | Jenina Segale | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2019-07-23 |
| 1063987675 | Gina M Whiteley I | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2018-10-10 |
| 1205341096 | Betsy Hennessy | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2017-12-04 |
| 1104363449 | Patricia Marie Dixson | Nurse Practitioner | 3100 Douglas Blvd, Suite 325, Roseville, CA 95661-3866 | 2017-01-25 |
| 1063874196 | Rupinder Tumber | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2016-03-28 |
| 1184089260 | Cristin Mater | Registered Nurse | 3100 Douglas Blvd, Roseville, CA 95661 | 2015-12-16 |
| 1699141705 | Tandis Bishop | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2015-08-12 |
| 1902285729 | Kanta Dhanda | Family Medicine | 3100 Douglas Blvd, Roseville, CA 95661 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154711299 | Shahzad Anwar Md Inc | Family Medicine | 1478 Stone Point Dr # 290, Roseville, CA 95661-2869 | 2015-01-28 |
| 1902162845 | Stephanie Wood | Family Medicine | 568 N. Sunrise Avenue, Suite 250, Roseville, CA 95661-9348 | 2012-04-04 |
| 1467740696 | Gilbert R Luceno | Family Medicine | 2110 Professional Dr Ste 120, Roseville, CA 95661-3779 | 2011-07-21 |
| 1255620936 | Nancy Kemp | Family Medicine | 3009 Douglas Blvd, Suite 160, Roseville, CA 95661-3859 | 2011-04-01 |
| 1649586694 | Anna P Abalos Md Inc | Family Medicine | 701 Pleasant Grove Blvd, Suite 125, Roseville, CA 95678-6156 | 2010-08-27 |
| 1528389145 | Shahzad Anwar | Family Medicine | 1478 Stone Point Dr, Suite 290, Roseville, CA 95661-2869 | 2010-06-17 |
| 1740424480 | Diana Libertad Arteaga Falconi | Family Medicine | 2110 Professional Drive, Suite 120, Roseville, CA 95661 | 2009-04-24 |
| 1912144593 | Jennifer Anne Griffin | Family Medicine | 8 Medical Plaza Dr, Roseville, CA 95661-3106 | 2009-01-19 |
| 1922263151 | Erin M. Deane | Family Medicine | 568 N. Sunrise Ave., #250, Roseville, CA 95661 | 2008-07-28 |
| 1669655627 | Nine Family Healthcare | Family Medicine | 18263 E 10 Mile Rd Ste C, Roseville, MI 48066-5805 | 2007-12-13 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.