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MR. KENNETH CHARLES ALEXANDER PA
NPI 1174506828
Physician Assistant - Medical in Chino, CA

Active since November 28, 2005
13193 CENTRAL AVENUE, SUITE 200, CHINO, CA 91710(909) 902-9111(909) 902-9199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Charles Alexander Pa NPPES

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

MR. KENNETH CHARLES ALEXANDER PA (NPI 1174506828) is an individual medical provider in Chino, California, licensed in California (PA10648) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1174506828
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH CHARLES ALEXANDERCredential: PA
Location Address13193 CENTRAL AVENUE, SUITE 200Chino, CA 91710
Mailing Address13193 Central Avenue, Suite 200Chino, CA 91710 · (909) 902-9111 · Fax (909) 902-9199
Phone(909) 902-9111
Fax(909) 902-9199
Sole ProprietorNo
Enumeration DateNovember 28, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174506828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA10648
13193 CENTRAL AVENUE, Chino, CA 91710
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Other Providers at the Same Location NPPES 4

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

DR. TRACEY LYNNE SHEPHERD PHD
Psychologist
13193 CENTRAL AVENUE, SUITE 200
CHINO, CA 91710
San Bernardino County (909) 902-9111
DANIEL DOMINIC LOPEZ MFT
Marriage & Family Therapist
13193 CENTRAL AVENUE, SUITE 200
CHINO, CA 91710
San Bernardino County (909) 902-9111
MRS. MEI HAN TANG-PIERI
Social Worker (Clinical)
13193 CENTRAL AVENUE, SUITE 200
CHINO, CA 91710
San Bernardino County (909) 902-9111
DR. TRAVIS DAUNTIA FULTZ PSYD
Psychologist
13193 CENTRAL AVENUE, SUITE 200
CHINO, CA 91710
San Bernardino County (909) 902-9111

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 Kenneth Alexander's NPI number?

The NPI number for Kenneth Alexander is 1174506828. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Kenneth Alexander located?

Kenneth Alexander practices at 13193 Central Avenue Suite 200, Chino, CA 91710. The listed phone number is (909) 902-9111.

What is Kenneth Alexander's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Alexander was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.