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Daniel J Kenney

Peer Specialist β€’ Riverside, CA

Active NPI 1083331946 Individual Practitioner Male Practitioner
Practice location in NPPES

3576 Arlington Ave Ste 106
Riverside, CA 925063907

Call 9517885905 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3576 Arlington Ave Ste 106

Riverside, CA 925063907

Telephone 9517885905
Organization at the Same NPPES Address or Phone
Walden Environment Facility NPI 1225351828

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Bernardino, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Riverside and California

398 active clinicians are listed under Peer Specialist with a practice address in Riverside, CA (4,733 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Riverside

0% of these 398 clinicians have the CMS telehealth indicator.

0% of these 398 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-09
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

255 N D St Ste 412

San Bernardino, CA 924011715

Phone: 9092646742

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
🏒
Secondary Practice Location Registered March 09, 2023

Additional practice office at 255 N D St Ste 412, San Bernardino, CA 924011715

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2023

Peer Specialist

βœ…
NPI Profile Active October 21, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 21, 2022

Registered at 3576 ARLINGTON AVE STE 106, RIVERSIDE, CA 925063907 (Tel: 9517885905)

πŸ“
Business Mailing Address (Initial Record) October 21, 2022

Registered at 1048 W CALLE DEL SOL APT 1, AZUSA, CA 917021741 (Tel: 6265249944)

πŸ‘€
Provider Name / Credentials (Initial Record) October 21, 2022

Recorded as DANIEL KENNEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2022

Community Health Worker

🟒
Initial NPI Registration & Enumeration October 21, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083331946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2022
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

1048 W Calle Del Sol Apt 1

Azusa, CA 917021741

Phone: 6265249944

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.