DR. KENNETH J WILKENS (NPI# 1679519649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679519649 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J WILKENS |
| Credential | MD |
| Practice Address |
26730 Crown Valley Pkwy Suite 200 Mission Viejo CA 92691-6364 |
| Practice Telephone | 9493642154 |
| Practice Fax Number | 9493642110 |
| Mailing Telephone | 9493642154 |
| Mailing Fax Number | 9493642110 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
A80116 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UPIN | I28424 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922309608 | Kenneth J Wilkens | Physical Therapist | 1402 S Main St, Scott City, KS 67871-1948 | 2010-11-10 |
| Street Address |
26730 CROWN VALLEY PKWY SUITE 200 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797367 | Herbert Eidt | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2005-11-14 |
| 1235569799 | Martha Scurr | Physician Assistant | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2013-11-20 |
| 1750718631 | Danielle K Moul Md Inc Apc | Specialist | 26730 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691-6364 | 2013-10-08 |
| 1801177753 | Samuel W Park Md Inc | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2011-09-06 |
| 1457645574 | Candice Nicole Castro | Physician Assistant | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2011-06-06 |
| 1356655427 | Herbert Eidt Md, A Medical Corporation | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2010-08-01 |
| 1013231893 | California Physician Consultants, PC | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2010-03-23 |
| 1891951174 | South Orange County Orthopaedics, Inc. | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2008-08-06 |
| 1356525737 | Orthopedic Trauma Specialists of Orange County Inc | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2007-12-20 |
| 1093904302 | Mark E. Elzik | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144300385 | Gary Jack Phipps | Orthopaedic Surgery | 26720 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691 | 2006-10-16 |
| 1356525737 | Orthopedic Trauma Specialists of Orange County Inc | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2007-12-20 |
| 1851518880 | Ken Wilkens Md, Inc. | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1609219658 | Matthew John Herring | Orthopaedic Surgery | Ucsf Orthopaedic Trauma Institute, 2550 23rd St., Bldg. 9, 2nd Floor, San Francisco, CA 94110 | 2013-04-09 |
| 1609038256 | Vahdatyar Amirpour M.d. Inc | Orthopaedic Surgery | 2501 H St, Bakersfield, CA 93301-2817 | 2008-06-25 |
| 1639336076 | Christian Seaholm Bromfield | Orthopaedic Surgery | 6600 Bruceville Rd Ste 111, Sacramento, CA 95823-4671 | 2008-05-22 |
| 1629255237 | David C Chang | Orthopaedic Surgery | 307 Placentia Ave., Suite # 111, Newport Beach, CA 92663 | 2008-01-25 |
| 1881881431 | Christopher Max Hoshino | Orthopaedic Surgery | 1000 W Carson St # 422, Torrance, CA 90502-2004 | 2007-09-27 |
| 1487840583 | John H. Serocki, Md, Apc | Orthopaedic Surgery | 9834 Genesee Ave #228, La Jolla, CA 92037 | 2007-09-21 |
| 1013024926 | Aaron G. Osborne, D.o., Inc. | Orthopaedic Surgery | 2480 Sonoma St, Redding, CA 96001-3027 | 2006-08-24 |
| 1689689176 | Lorra Marie Sharp | Orthopaedic Surgery | 1955 Citracado Pkwy Ste 200, Escondido, CA 92029-4112 | 2006-07-31 |
| 1386627842 | Todd A Swenning | Orthopaedic Surgery | 1180 N Indian Canyon Dr Ste 201, Palm Springs, CA 92262-4857 | 2005-11-29 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.