KENNEDI BREELLE HARRIS
NPI 1215821889
Physician Assistant - Medical in Santa Monica, CA

Active since June 06, 2025
907 PICO BLVD, SANTA MONICA, CA 90405(866) 452-5273 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedi Breelle Harris NPPES

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

KENNEDI BREELLE HARRIS (NPI 1215821889) is an individual medical provider in Santa Monica, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1215821889
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKENNEDI BREELLE HARRIS
Location Address907 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address403 E 137th StLos Angeles, CA 90061-2603 · (424) 509-3443
Sole ProprietorYes
Enumeration DateJune 6, 2025
NPPES CertifiedJune 6, 2025
NPI 1215821889 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
907 PICO BLVD, Santa Monica, CA 90405

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.

Licensed Vocational Nurse
907 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405

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 Kennedi Harris's NPI number?

The NPI number for Kennedi Harris is 1215821889. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Where is Kennedi Harris located?

Kennedi Harris practices at 907 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (866) 452-5273.

What is Kennedi Harris'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 Kennedi Harris was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.