1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Specialist
  6. NPI Profile

KENNY ROOSEVELT N/A
NPI 1710703087
Specialist in San Francisco, CA

Active since December 02, 2024
1380 HOWARD ST FL 2, SAN FRANCISCO, CA 94103(628) 754-9216 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenny Roosevelt N/a NPPES

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

KENNY ROOSEVELT N/A (NPI 1710703087) is an individual specialist in San Francisco, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1710703087
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNY ROOSEVELTCredential: N/A
Location Address1380 HOWARD ST FL 2San Francisco, CA 94103-2649
Mailing Address1380 Howard St Fl 2San Francisco, CA 94103-2649 · (628) 754-9216
Phone(628) 754-9216
Sole ProprietorYes
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1710703087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1380 HOWARD ST FL 2, San Francisco, CA 94103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

ERIN DAWN GARCIA PASAPORTE LMFT
Marriage & Family Therapist
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 706-4162
TIMOTHY HALL JR.
Student in an Organized Health Care Education/Training Program
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 255-3659
ERIN L PETERSON
Community Health Worker
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (510) 418-2678
JENNIFER JEAN ROCHE
Community Health Worker
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 255-3523
SETH PARDO PH.D.
Specialist (Research Data Abstracter/Coder)
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 255-3678
STEPHEN MICHAEL BANUELOS LCSW
Social Worker (Clinical)
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 255-3411
DIMI SALVADOR
Community Health Worker
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 503-4780
THANASORN LAWSON
Specialist
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103
San Francisco County (415) 255-3962

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 Kenny Roosevelt's NPI number?

The NPI number for Kenny Roosevelt is 1710703087. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Kenny Roosevelt located?

Kenny Roosevelt practices at 1380 Howard St Fl 2, San Francisco, CA 94103. The listed phone number is (628) 754-9216.

What is Kenny Roosevelt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenny Roosevelt was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.