KENNY HUNG VO I
NPI 1104313501
Pediatrics in Santa Monica, CA

Active since April 20, 2018PECOS Enrolled
1260 15TH ST STE 1002, SANTA MONICA, CA 90404(424) 259-8570 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenny Hung Vo I NPPES

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

KENNY HUNG VO I (NPI 1104313501) is an individual pediatrics provider in Santa Monica, California, licensed in California (A163668) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2018).

NPPES Registry Identity

NPI1104313501
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNY HUNG VO I
Location Address1260 15TH ST STE 1002Santa Monica, CA 90404-1145
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2018
Enumeration DateApril 20, 2018
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1104313501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A163668
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License A163668 (CA)
1260 15TH ST STE 1002, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenny Hung Vo I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789058736
PECOS Enrollment IDI20250923004462
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Pediatrics (Pediatric Allergy/Immunology)
1260 15TH ST STE 1002
SANTA MONICA, CA 90404
Allergy & Immunology
1260 15TH ST STE 1002
SANTA MONICA, CA 90404
Dentist (Prosthodontics)
1260 15TH ST STE 1002
SANTA MONICA, CA 90404

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 Kenny Vo's NPI number?

The NPI number for Kenny Vo is 1104313501. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Kenny Vo located?

Kenny Vo practices at 1260 15th St Ste 1002, Santa Monica, CA 90404. The listed phone number is (424) 259-8570.

What is Kenny Vo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kenny Vo enrolled in Medicare?

Yes. Kenny Vo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Vo was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.