Kenneth Vereschagin, MD

Individual Active
NPI 1497837785
Pediatric Sports Medicine Physician Santa Clara, CA

NPI 1497837785 belongs to Kenneth Vereschagin, MD, a pediatric sports medicine physician with a practice location in Santa Clara, CA. The NPI was issued on October 19, 2006, and the record was last updated in NPPES on December 2, 2011.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X G61515 (CA)

Practice location

2652 El Camino Real
Santa Clara, CA 95051-3041
Phone: (408) 524-5952

Local context

Active NPPES records list 4 providers with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 23 in California and 283 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kenneth Vereschagin
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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