KEVIN WILLIAM CANEDY PHYSICIAN ASSISTANT
NPI 1609545656
Physician Assistant in Coachella, CA

Q: What is Kevin Canedy's NPI number?

The NPI number for Kevin Canedy is 1609545656. It was assigned to this individual provider in the NPPES registry on September 12, 2021.

Q: What is Kevin Canedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Canedy was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 12, 2021PECOS EnrolledAccepts Medicare Assignment

1293 6TH ST, COACHELLA, CA 92236(760) 391-5151 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Apr 16, 2022, Sep 12, 2021 (3 updates tracked since 2021).

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About Kevin William Canedy Physician Assistant NPPES

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

KEVIN WILLIAM CANEDY PHYSICIAN ASSISTANT (NPI 1609545656) is an individual physician assistant in Coachella, California and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609545656

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKEVIN WILLIAM CANEDYCredential: PHYSICIAN ASSISTANT

Location Address1293 6TH STCoachella, CA 92236-1707

Mailing Address1293 6th StCoachella, CA 92236-1707 · (760) 391-5151

Phone(760) 391-5151

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 12, 2021

Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1609545656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1293 6TH ST, Coachella, CA 92236

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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 and accepts Medicare assignment

Kevin William Canedy Physician Assistant 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 ID5395278576

PECOS Enrollment IDI20241025003052

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 92236 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 17

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

JEFFREY CONTRERAS SR. FNP-C

Nurse Practitioner (Family)