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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since September 12, 2021PECOS Enrolled
91275 66TH AVENUE, SUITE 500, MECCA, CA 92254(760) 396-1249 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 7, 2026, Jan 16, 2026, Apr 16, 2022 and 1 more (4 updates tracked since 2021).

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 Mecca, 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 Address91275 66TH AVENUE, SUITE 500Mecca, CA 92254
Mailing Address91275 66th Avenue, Suite 500Mecca, CA 92254 · (760) 396-1249
Phone(760) 396-1249
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 12, 2021
Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 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.
91275 66TH AVENUE, Mecca, CA 92254
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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 (PECOS)

Kevin William Canedy Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92254 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

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

RIVERSIDE LATINO COMMISSION ON ALCOHOL & DRUG ABUSE SERVICES, INC.
Clinic/Center (Adolescent and Children Mental Health)
91275 66TH AVENUE, SUITE 100
MECCA, CA 92254
Riverside County (760) 863-7860

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 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.

Where is Kevin Canedy located?

Kevin Canedy practices at 91275 66th Avenue Suite 500, Mecca, CA 92254. The listed phone number is (760) 396-1249.

What is Kevin Canedy's specialty?

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

Is Kevin Canedy enrolled in Medicare?

Yes. Kevin Canedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Canedy was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.