DR. KENNETH FRANCIS SPAULDING JR. (NPI# 1760404073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760404073 |
| Entity Type | Individual |
| Full Name | DR. KENNETH FRANCIS SPAULDING JR. |
| Credential | MD |
| Practice Address |
29525 Canwood St Suite 214 Agoura Hills CA 91301-4233 |
| Practice Telephone | 8187061966 |
| Practice Fax Number | 8187069857 |
| Mailing Telephone | 8187061966 |
| Mailing Fax Number | 8187069857 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
G25700 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710316047 | Kenneth Spaulding | Physical Therapy Assistant | 1221 E 16th St, Holland, MI 49423-9127 | 2013-11-07 |
| 1285742460 | Kenneth Allen Spaulding | Psychiatric Hospital | 5121 Raytown Rd, Kansas City, MO 64133-2141 | 2006-08-28 |
| Street Address |
29525 CANWOOD ST SUITE 214 |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760621 | Michael S Shore | Chiropractor | 29525 Canwood St, Ste 204, Agoura Hills, CA 91301-4231 | 2005-06-15 |
| 1437546454 | Richelle Bart | Behavioral Analyst | 29525 Canwood St, Suite 303, Agoura Hills, CA 91301-4233 | 2015-04-16 |
| 1770978447 | Diane Kenney | Pharmacist | 29525 Canwood St, Agoura Hills, CA 91301-4233 | 2015-03-31 |
| 1679813471 | Zak Dental Corp | Dentist | 29525 Canwood St, Suite 200, Agoura Hills, CA 91301-4233 | 2013-02-15 |
| 1487924379 | Bente Berman Md Inc | Dermatology | 29525 Canwood St, Suite 219, Agoura Hills, CA 91301-4233 | 2012-01-09 |
| 1922397272 | Aimee E. Anderson, Ph.d. A Professional Psychology Corporation | Early Intervention Provider Agency | 29525 Canwood St, Suite 303, Agoura Hills, CA 91301-4233 | 2011-04-06 |
| 1407156219 | Shohreh Selki | Dentist | 29525 Canwood St, Suite 201, Agoura Hills, CA 91301-4233 | 2010-10-26 |
| 1497987960 | Angela Chen | Chiropractor | 29525 Canwood St, Suite 204, Agoura Hills, CA 91301-4233 | 2009-08-18 |
| 1740414101 | Kathleen Deisinger | Physical Therapist | 29525 Canwood St, Suite 202, Agoura Hills, CA 91301-4233 | 2009-05-13 |
| 1710145164 | Orion Medical Group | Internal Medicine | 29525 Canwood St, Suite 205, Agoura Hills, CA 91301-4233 | 2008-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
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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.