Kenneth Wogensen (NPI# 1932109295, PAC ID# 8921032061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1932109295 |
| PAC ID by PECOS | 8921032061 |
| Professional Enrollment ID | I20050920000505 |
| Full Name | Kenneth Wogensen |
| Address |
1015 N 1st Ave A Arcadia CA 91006-7401 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050782 | CASA COLINA HOSPITAL |
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| Address | Phone | Organization |
|---|---|---|
| 1015 N 1st Ave A, Arcadia, CA 91006-7401 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1015 N 1ST AVE A |
| City | ARCADIA |
| State | CA |
| Zip | 91006-7401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Bates | Psychologist, Clinical | 50 E Foothill Blvd, Suite 204, Arcadia, CA 91006-2314 | |
| Chao Chin Kuo | Psychologist, Clinical | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Kristian Admean | Clinical Social Worker | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Ray Hwang | Psychologist, Clinical | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Jennifer Mae Pruitt | Psychologist, Clinical | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Jennifer Dee Stinson | Psychologist, Clinical | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Vanui Giltaji | Psychologist, Clinical | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Wendy L Bencosme | Clinical Psychologist | Soultenders, Inc. | 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 |
| Larry D Mellinger | Chiropractic | 228 E Foothill Blvd, Arcadia, CA 91006-2508 | |
| Nubar A Ornekian | Podiatry | 212 E Foothill Blvd A, Arcadia, CA 91006-2521 | |
| Find all physicians in zip 91006 | |||
| City | ARCADIA |
| Zip Code | 91006 |
| Specialty | NEUROLOGY |
| City + Specialty | ARCADIA + NEUROLOGY |
Please comment or provide details below to improve the information on Kenneth Wogensen.
| 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.