Kenneth E Novich (NPI# 1851475826, PAC ID# 6204012073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1851475826 |
| PAC ID by PECOS | 6204012073 |
| Professional Enrollment ID | I20110511000535 |
| Full Name | Kenneth E Novich |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Phone Number | 7076511000 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6917 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050510 | KAISER FOUNDATION HOSPITAL - SAN RAFAEL |
| Address | Phone | Organization |
|---|---|---|
| 975 Sereno Dr, Vallejo, CA 94589-2441 | 7076511000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip | 94589-2441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anoosheh Nikkar | Physician Assistant | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Gary D Maas | Optometry | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Donald B Ward | Certified Registered Nurse Anesthetist (crna) | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Kenneston Carr | Internal Medicine | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Jane M Prosser | Emergency Medicine | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Shihfan Yeh | Hematology/oncology | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Carlos M A San Mateo | Colorectal Surgery (proctology) | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Fouzia A Aftab | Family Medicine | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Ritu Mukerji-metzger | Internal Medicine | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Christine C Kaiser | Hematology | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne K Ogata | Optometry | 4300 Sonoma Blvd, Suite 508, Vallejo, CA 94589-2210 | |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jamie S Baskett | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jonathan D Getz | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Serena M Wong | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Heather L Nelson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeremiah L Johnson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeannie E Celestial | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Angel A Hurtado | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Allen T Mckee | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Find all physicians in zip 94589 | |||
| City | VALLEJO |
| Zip Code | 94589 |
| Specialty | GENERAL SURGERY |
| City + Specialty | VALLEJO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kenneth E Novich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.