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JACK KENNIS MD INC
NPI 1033922497
Internal Medicine in Yorba Linda, CA

Active since January 29, 2025
27080 BIG HORN MOUNTAIN WAY, YORBA LINDA, CA 92887(714) 692-0800 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Feb 4, 2025 (2 updates tracked since 2025).

About Jack Kennis Md Inc NPPES

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

JACK KENNIS MD INC (NPI 1033922497), doing business as Jack Kennis, is a healthcare organization registered as an internal medicine in Yorba Linda, California and active in the NPI registry since January 2025. The organization lists Jack Kennis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033922497
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACK KENNIS MD INC
Location Address27080 BIG HORN MOUNTAIN WAYYorba Linda, CA 92887-4210
Mailing Address27080 Big Horn Mountain WayYorba Linda, CA 92887-4210 · (714) 692-0800
Phone(714) 692-0800
Organization SubpartNo
Authorized OfficialJack KennisCeo · (714) 692-0800
Enumeration DateJanuary 29, 2025
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1033922497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
27080 BIG HORN MOUNTAIN WAY, Yorba Linda, CA 92887
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Other Names 1

Former Legal Business NameJack Kennis

Other Identifiers 1

Other1477504249CA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jack Kennis MD Inc's NPI number?

The NPI number for Jack Kennis MD Inc is 1033922497. It was assigned to this organization in the NPPES registry on January 29, 2025. The provider was formerly known as jack kennis.

Where is Jack Kennis MD Inc located?

Jack Kennis MD Inc is located at 27080 Big Horn Mountain Way, Yorba Linda, CA 92887. The listed phone number is (714) 692-0800.

What is Jack Kennis MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jack Kennis MD Inc was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.