MARQUIS ANDREW KENNEDY PA-C
NPI 1457135063
Physician Assistant in Los Angeles, CA

Active since August 23, 2023PECOS EnrolledAccepts Medicare Assignment
1952 S BRONSON AVE, LOS ANGELES, CA 90018(424) 356-7575 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2026, Dec 4, 2025, Nov 20, 2025 and 2 more (5 updates tracked since 2023).

About Marquis Andrew Kennedy Pa-c NPPES

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

MARQUIS ANDREW KENNEDY PA-C (NPI 1457135063) is an individual physician assistant in Los Angeles, California, licensed in California (67086) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457135063
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARQUIS ANDREW KENNEDYCredential: PA-C
Location Address1952 S BRONSON AVELos Angeles, CA 90018-1039
Mailing Address1952 S Bronson AveLos Angeles, CA 90018-1039 · (424) 356-7575
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2023
Last NPPES UpdateJune 2, 20265 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1457135063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 67086
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1952 S BRONSON AVE, Los Angeles, CA 90018

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marquis Andrew Kennedy Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658891700
PECOS Enrollment IDI20251215003346
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457135063, enumerated as an "individual" on August 23, 2023.

The provider is located at 1952 S BRONSON AVE LOS ANGELES, CA 90018 and the phone number is (424) 356-7575.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to verify.