KENNETH VERESCHAGIN MD
NPI 1497837785
Pediatrics - Sports Medicine in Santa Clara, CA

Q: What is Kenneth Vereschagin's NPI number?

The NPI number for Kenneth Vereschagin is 1497837785. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Kenneth Vereschagin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Active since October 19, 2006

2652 EL CAMINO REAL, SANTA CLARA, CA 95051(408) 524-5952 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Vereschagin Md NPPES

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

KENNETH VERESCHAGIN MD (NPI 1497837785) is an individual sports medicine provider in Santa Clara, California, licensed in California (G61515) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1497837785

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameKENNETH VERESCHAGINCredential: MD

Location Address2652 EL CAMINO REALSanta Clara, CA 95051-3041

Mailing Address2350 W El Camino Real, 2nd FloorMountain View, CA 94040-6201

Phone(408) 524-5952

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateDecember 2, 2011

✔ NPI 1497837785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in CA · G61515

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2652 EL CAMINO REAL, Santa Clara, CA 95051

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Other Providers at the Same Location NPPES 14

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

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