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SEAN M. KENNEDY PA-C
NPI 1164583092
Physician Assistant - Surgical in Fremont, CA

Active since December 13, 2006PECOS Enrolled
39400 PASEO PADRE PKWY, SURGERY DEPT - EMBARCADERO BLDG, FREMONT, CA 94538(510) 248-3075(510) 248-3364 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sean M. Kennedy Pa-c NPPES

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

SEAN M. KENNEDY PA-C (NPI 1164583092) is an individual surgical provider in Fremont, California, licensed in California (PA16076) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164583092
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSEAN M. KENNEDYCredential: PA-C
Location Address39400 PASEO PADRE PKWY, SURGERY DEPT - EMBARCADERO BLDGFremont, CA 94538-2310
Mailing Address39400 Paseo Padre Pkwy, Surgery Dept - Embarcadero BldgFremont, CA 94538-2310 · (510) 248-3075 · Fax (510) 248-3364
Phone(510) 248-3075
Fax(510) 248-3364
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 30, 2021
✔ NPI 1164583092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA16076
39400 PASEO PADRE PKWY, Fremont, CA 94538
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean M. Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MELINDA JENNY STEELE MD
Family Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 248-3000
HEUMIN LI R.PH.
Pharmacist
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 248-7577
SRILATA RAMAN M.D.
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 248-3623
MS. BARBARA TEDESCO ZEPEDA WHCNP
Registered Nurse (Women's Health Care, Ambulatory)
39400 PASEO PADRE PKWY, EMBARCADERO OB/GYN
FREMONT, CA 94538
Alameda County (510) 248-3591
CALVIN B. WHEELER MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 795-3000
HANNELORE MOHR MD
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 795-3000
FREDERICK G. HOM MD
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 795-3000
MANJU JACOB
Dietitian, Registered
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 739-6412

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 Sean Kennedy's NPI number?

The NPI number for Sean Kennedy is 1164583092. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Sean Kennedy located?

Sean Kennedy practices at 39400 Paseo Padre Pkwy Surgery Dept - Embarcadero Bldg, Fremont, CA 94538. The listed phone number is (510) 248-3075.

What is Sean Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sean Kennedy enrolled in Medicare?

Yes. Sean Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sean Kennedy was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.