Tami Kennedy (NPI# 1861596942, PAC ID# 9830337872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861596942 |
| PAC ID by PECOS | 9830337872 |
| Professional Enrollment ID | I20130603000230 |
| Full Name | Tami Kennedy |
| Organization Legal Name | GATEWAY REHAB AND WELLNESS CENTER INC |
| Address |
24002 Via Fabricante Mission Viejo CA 92691-3934 |
| Phone Number | 9494548811 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517094980 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 24002 Via Fabricante, Mission Viejo, CA 92691-3934 | 9494548811 | GATEWAY REHAB AND WELLNESS CENTER INC |
| 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3934 | 9494548811 | GATEWAY REHAB AND WELLNESS CENTER INC |
| Organization Legal Name | GATEWAY REHAB AND WELLNESS CENTER INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rona P Palompo | Physical Therapy | Gateway Rehab and Wellness Center Inc | 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3934 |
| Victor R Rafa | Chiropractic | Gateway Rehab and Wellness Center Inc | 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3934 |
| Street Address |
24002 VIA FABRICANTE |
| City | MISSION VIEJO |
| State | CA |
| Zip | 92691-3934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rona P Palompo | Physical Therapy | Gateway Rehab and Wellness Center Inc | 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3934 |
| Victor R Rafa | Chiropractic | Gateway Rehab and Wellness Center Inc | 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Kim | Neurology | Neuralview Medical Group PC | 27246 Villanueva, Mission Viejo, CA 92691-2139 |
| Kim C Till | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Abigail Mecham | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Daniel Kanoa Bever | Physical Therapy | Southland Physical Therapy Inc | 25565 Jeronimo Rd, Mission Viejo, CA 92691-2707 |
| Marina A Ball | Dermatology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Kevin R Yuhan | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| My-lan Le-nguyen | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Keith J Pince | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Pauline Chang Uehara | Optometry | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Michael Kim | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Find all physicians in zip 92691 | |||
| City | MISSION VIEJO |
| Zip Code | 92691 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MISSION VIEJO + NURSE PRACTITIONER |
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| 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.