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KENN RAFANAN
NPI 1003332909
Nurse Practitioner - Family in El Segundo, CA

Active since August 22, 2017
2101 ROSECRANS AVE # 3230, EL SEGUNDO, CA 90245(323) 628-8671 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2019, Aug 22, 2017 (2 updates tracked since 2017).

About Kenn Rafanan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENN RAFANAN (NPI 1003332909) is an individual family provider in El Segundo, California, licensed in California (95006905) and active in the NPI registry since August 2017. He maintains a secondary practice location in Simi Valley.

NPPES Registry Identity

NPI1003332909
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENN RAFANAN
Location Address2101 ROSECRANS AVE # 3230El Segundo, CA 90245-4749
Mailing Address1723 Bonanza AveSimi Valley, CA 93063-5803 · 18187302452
Phone(323) 628-8671
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
✔ NPI 1003332909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006905
2101 ROSECRANS AVE # 3230, El Segundo, CA 90245
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Secondary Practice Location 1

Location 11723 Bonanza AveSimi Valley, CA 93063 · Phone (818) 730-2452

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAKA LAURETTA ANYAOHA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
DR. ISH PRASAD BHALLA MD
Psychiatry & Neurology (Psychiatry)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
YOUNG SHIN N.P.
Nurse Practitioner (Adult Health)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
RODEL LUMANOG
Nurse Practitioner (Family)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
DR. CHARLES CHRISTIAN MARTINEAU M.D.
Internal Medicine
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
MS. ROSEMARY ROYCE FNP
Nurse Practitioner (Family)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
BARBARA E BECKFORD NP
Nurse Practitioner (Adult Health)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (657) 204-3953
DR. TREVOR MORGAN HAYES D.O.
Family Medicine
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenn Rafanan's NPI number?

The NPI number for Kenn Rafanan is 1003332909. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Kenn Rafanan located?

Kenn Rafanan practices at 2101 Rosecrans Ave # 3230, El Segundo, CA 90245. The listed phone number is (323) 628-8671.

What is Kenn Rafanan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kenn Rafanan was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.