Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cassandra Ann Kennedy, MD

Individual provider Surgery Physician · NPI 1275550840

Dr. Cassandra Ann Kennedy, MD is a General Surgery in Fortuna, California. Graduated from Chicago College of Medicine and Surgery in 1992, 34 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
34
Trained at
Chicago College of Medicine and Surgery
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3300 Renner Dr
Fortuna, CA 95540-3120
Phone: (707) 725-9832
Fax: (707) 725-7247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G79397 (CA)

Record details

NPI number1275550840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 1992 (34 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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