KENNETH LANDIS M D A MEDICAL CORPORATION
NPI 1184799520
Internal Medicine in Marina Del Rey, CA

Active since November 21, 2006
4644 LINCOLN BLVD, SUITE 500, MARINA DEL REY, CA 90292(310) 822-2255(310) 822-0044 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2017, Feb 8, 2016 (2 updates tracked since 2016).

About Kenneth Landis M D A Medical Corporation NPPES

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

KENNETH LANDIS M D A MEDICAL CORPORATION (NPI 1184799520) is a healthcare organization registered as an internal medicine in Marina Del Rey, California and active in the NPI registry since November 2006. The organization lists Kenneth Wayne Landis, President, as its authorized official.

NPPES Registry Identity

NPI1184799520
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKENNETH LANDIS M D A MEDICAL CORPORATION
Location Address4644 LINCOLN BLVD, SUITE 500Marina Del Rey, CA 90292-6313
Mailing Address4644 Lincoln Blvd, Suite 500Marina Del Rey, CA 90292-6313 · (310) 822-2255 · Fax (310) 822-0044
Fax(310) 822-0044
Organization SubpartNo
Authorized OfficialKenneth Wayne LandisPresident · (310) 822-2255
Enumeration DateNovember 21, 2006
Last NPPES UpdateApril 20, 20172 updates tracked since enumeration
NPI 1184799520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G29787
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License G29787 (CA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License G29787 (CA)
4644 LINCOLN BLVD, Marina Del Rey, CA 90292

Other Identifiers 4

Other290003222CA · Railroad Medicare
Medicaid00G297871CA
Medicaid00G297870CA
OtherCP9010Medicare Rrr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Ophthalmology
4644 LINCOLN BLVD, STE #430
MARINA DEL REY, CA 90292
Ophthalmology
4644 LINCOLN BLVD, SUITE 430
MARINA DEL REY, CA 90292
Internal Medicine
4644 LINCOLN BLVD, 113
MARINA DEL REY, CA 90292
Anesthesiology (Pain Medicine)
4644 LINCOLN BLVD, 424
MARINA DEL REY, CA 90292
Family Medicine
4644 LINCOLN BLVD, SUITE 428
MARINA DEL REY, CA 90292
Specialist
4644 LINCOLN BLVD, SUITE # 409
MARINA DEL REY, CA 90292
Orthopaedic Surgery
4644 LINCOLN BLVD, SUITE 101
MARINA DEL REY, CA 90292
Internal Medicine
4644 LINCOLN BLVD, #111
MARINA DEL REY, CA 90292

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 Landis M D A Medical Corporation's NPI number?

The NPI number for Kenneth Landis M D A Medical Corporation is 1184799520. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Kenneth Landis M D A Medical Corporation located?

Kenneth Landis M D A Medical Corporation is located at 4644 Lincoln Blvd Suite 500, Marina Del Rey, CA 90292. The listed phone number is (310) 822-2255.

What is Kenneth Landis M D A Medical Corporation'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 Kenneth Landis M D A Medical Corporation was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.