DR. CHARLES DERENSBOUGH KENNEDY MD
NPI 1942576111
Internal Medicine in Simi Valley, CA

Q: What is Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1942576111. It was assigned to this individual provider in the NPPES registry on March 31, 2012.

Q: What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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 March 31, 2012

229 SYCAMORE GROVE ST, SIMI VALLEY, CA 93065(805) 217-6724(805) 217-6724 Get Directions Write a Review

NPPES record last updated: March 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Charles Derensbough Kennedy Md NPPES

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

DR. CHARLES DERENSBOUGH KENNEDY MD (NPI 1942576111) is an individual internal medicine provider in Simi Valley, California, licensed in California (G066894) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1942576111

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CHARLES DERENSBOUGH KENNEDYCredential: MD

Location Address229 SYCAMORE GROVE STSimi Valley, CA 93065-7342

Mailing Address229 Sycamore Grove StSimi Valley, CA 93065-7342 · (805) 217-6724 · Fax (805) 217-6724

Phone(805) 217-6724

Fax(805) 217-6724

Sole ProprietorYes

Enumeration DateMarch 31, 2012

✔ NPI 1942576111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G066894

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

229 SYCAMORE GROVE ST, Simi Valley, CA 93065

Open in Google Maps ↗

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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1942576111. It was assigned to this individual provider in the NPPES registry on March 31, 2012.

Where is Charles Kennedy located?

Charles Kennedy practices at 229 Sycamore Grove St, Simi Valley, CA 93065. The listed phone number is (805) 217-6724.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.