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JACK D KENNIS MD
NPI 1477504249
Emergency Medicine in Downey, CA

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
11500 BROOKSHIRE AVE, DOWNEY, CA 90241(562) 904-5000 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack D Kennis Md NPPES

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

JACK D KENNIS MD (NPI 1477504249) is an individual emergency medicine provider in Downey, California, licensed in California (G46843) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Irvine California College Of Medicine (1980).

NPPES Registry Identity

NPI1477504249
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK D KENNISCredential: MD
Location Address11500 BROOKSHIRE AVEDowney, CA 90241
Mailing AddressPo Box 39159Downey, CA 90239 · (562) 809-3576 · Fax (562) 468-0347
Phone(562) 904-5000
Sole ProprietorNo
Medical School CMSIrvine California College Of MedicineGraduated 1980
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1477504249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G46843
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11500 BROOKSHIRE AVE, Downey, CA 90241
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Other Identifiers 1

Medicaid00G468430CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jack D Kennis Md 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 ID7416083316
PECOS Enrollment IDI20250310003345
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 90241 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ANDREW SALEEB
Student in an Organized Health Care Education/Training Program
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
Emergency Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (469) 401-3286
MANDAAR GOKHALE MD
Emergency Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
AVA AZIMI M.D.
Internal Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
VIVIAN TO DO
Hospitalist
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
DAVID ROGERS GARVER M.D.
Anesthesiology
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (560) 904-5000
KEVIN OEI
Family Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
DR. ELIZABETH FRANCES GIBBS DO
Family Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5482

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 Jack Kennis's NPI number?

The NPI number for Jack Kennis is 1477504249. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Jack Kennis located?

Jack Kennis practices at 11500 Brookshire Ave, Downey, CA 90241. The listed phone number is (562) 904-5000.

What is Jack Kennis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jack Kennis enrolled in Medicare?

Yes. Jack Kennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Kennis accept?

Health plans from Oscar Insurance Company list Jack Kennis 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 Jack Kennis was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.