KENAN & WANG LLC
NPI 1346485075
Clinic/Center - Primary Care in Sacramento, CA

Active since December 09, 2008
331 J ST, SACRAMENTO, CA 95814(916) 553-0028(916) 553-0038 Get Directions Write a Review

NPPES record last updated: December 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenan & Wang Llc NPPES

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

KENAN & WANG LLC (NPI 1346485075) is a healthcare organization registered as a primary care in Sacramento, California and active in the NPI registry since December 2008. The organization lists Kenan Si, Owner, as its authorized official.

NPPES Registry Identity

NPI1346485075
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENAN & WANG LLC
Location Address331 J STSacramento, CA 95814-2211
Mailing Address9522 Bullion WayOrangevale, CA 95662-5427 · (916) 580-5249 · Fax (916) 990-0668
Fax(916) 553-0038
Organization SubpartNo
Authorized OfficialKenan SiOwner · (916) 580-5249
Enumeration DateDecember 9, 2008
✔ NPI 1346485075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A99168
331 J ST, Sacramento, CA 95814

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenan & Wang Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20081212000429Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenan & Wang LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1124144266
331 J ST SUITE 150
Sacramento, CA 95814
(916) 553-0028
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kenan & Wang LLC's NPI number?

The NPI number for Kenan & Wang LLC is 1346485075. It was assigned to this organization in the NPPES registry on December 9, 2008.

Where is Kenan & Wang LLC located?

Kenan & Wang LLC is located at 331 J St, Sacramento, CA 95814. The listed phone number is (916) 553-0028.

What is Kenan & Wang LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Kenan & Wang LLC enrolled in Medicare?

Yes. Kenan & Wang LLC is registered in the Medicare PECOS enrollment system.

When is Kenan & Wang LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kenan & Wang LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kenan & Wang LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenan & Wang LLC was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.