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JOHANNA LYNN OLSON-KENNEDY MD
NPI 1396831665
Pediatrics - Adolescent Medicine in Pasadena, CA

Active since October 05, 2006PECOS Enrolled
301 S FAIR OAKS AVE STE 105, PASADENA, CA 91105(866) 846-5062 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Jul 8, 2025 (2 updates tracked since 2025).

About Johanna Lynn Olson-kennedy Md NPPES

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

JOHANNA LYNN OLSON-KENNEDY MD (NPI 1396831665) is an individual adolescent medicine provider in Pasadena, California, licensed in California (A67352) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396831665
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameJOHANNA LYNN OLSON-KENNEDYCredential: MD
Location Address301 S FAIR OAKS AVE STE 105Pasadena, CA 91105-2536
Mailing Address301 S Fair Oaks Ave Ste 105Pasadena, CA 91105-2536 · (866) 846-5062 · Fax (800) 890-5211
Phone(866) 846-5062
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1396831665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in CA · A67352✔ Licensed in CA · A067352
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
301 S FAIR OAKS AVE STE 105, Pasadena, CA 91105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johanna Lynn Olson-kennedy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

WAYWARD CARE PROFESSIONAL CORPORATION
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (415) 780-1515
SARA ELLERBE PHYSICAL THERAPY SERVICES, INC.
Physical Therapist
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (626) 795-8023
JOHANNA OLSON-KENNEDY APMC
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (866) 846-5062
PHYSICAL THERAPY SERVICES MEDICAL GROUP, INC.
Physical Therapist
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (626) 795-8023
JONATHAN DANIEL WARUS MD
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (866) 846-5062

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 Johanna Olson-kennedy's NPI number?

The NPI number for Johanna Olson-kennedy is 1396831665. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Johanna Olson-kennedy located?

Johanna Olson-kennedy practices at 301 S Fair Oaks Ave Ste 105, Pasadena, CA 91105. The listed phone number is (866) 846-5062.

What is Johanna Olson-kennedy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Johanna Olson-kennedy enrolled in Medicare?

Yes. Johanna Olson-kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johanna Olson-kennedy was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.