DR. KENNETH KEHINDE ETEFIA M.D.
NPI 1346437787
Psychiatry & Neurology - Psychiatry in San Mateo, CA

Q: What is Kenneth Etefia's NPI number?

The NPI number for Kenneth Etefia is 1346437787. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Q: What is Kenneth Etefia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Kenneth Etefia enrolled in Medicare?

No. Kenneth Etefia has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Etefia was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 01, 2007Opted out of Medicare · through Apr 1, 2028

1650 S AMPHLETT BLVD STE 203, SAN MATEO, CA 94402(650) 206-8932(855) 347-9258 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 26, 2021, Apr 28, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kenneth Kehinde Etefia M.d. NPPES

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

DR. KENNETH KEHINDE ETEFIA M.D. (NPI 1346437787) is an individual psychiatry provider in San Mateo, California, licensed in California (A108453) and active in the NPI registry since October 2007. He has opted out of Medicare through April 1, 2028 and maintains a secondary practice location in Kentfield.

NPPES Registry Identity

NPI1346437787

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KENNETH KEHINDE ETEFIACredential: M.D.

Location Address1650 S AMPHLETT BLVD STE 203San Mateo, CA 94402-2515

Mailing Address1650 S Amphlett Blvd Ste 203San Mateo, CA 94402-2515 · (650) 206-8932 · Fax (855) 347-9258

Phone(650) 206-8932

Fax(855) 347-9258

Sole ProprietorYes

Enumeration DateOctober 1, 2007

Last NPPES UpdateMay 26, 20212 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1346437787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A108453

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1650 S AMPHLETT BLVD STE 203, San Mateo, CA 94402

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Secondary Practice Location 1

Location 11036 Sir Francis Drake BlvdKentfield, CA 94904-1427 · Phone (415) 361-8065

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kenneth Kehinde Etefia M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Etefia's NPI number?

The NPI number for Kenneth Etefia is 1346437787. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Kenneth Etefia located?

Kenneth Etefia practices at 1650 S Amphlett Blvd Ste 203, San Mateo, CA 94402. The listed phone number is (650) 206-8932.

What is Kenneth Etefia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenneth Etefia enrolled in Medicare?

No. Kenneth Etefia has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kenneth Etefia accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kenneth Etefia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Etefia was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.