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

Active since August 23, 2023PECOS Enrolled
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: October 18, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marquis Andrew Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marquis Kennedy's NPI number?

The NPI number for Marquis Kennedy is 1457135063. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Marquis Kennedy located?

Marquis Kennedy practices at 1952 S Bronson Ave, Los Angeles, CA 90018. The listed phone number is (424) 356-7575.

What is Marquis Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marquis Kennedy enrolled in Medicare?

Yes. Marquis Kennedy is registered in the Medicare PECOS enrollment system.

What insurance does Marquis Kennedy accept?

Health plans from Blue Cross Blue Shield of Arizona list Marquis Kennedy 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 Marquis Kennedy was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.