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

Dr. Kevin Gerard Waldron, MD

Individual provider Neurological Surgery Physician · NPI 1659314540

Dr. Kevin Gerard Waldron, MD is a Neurosurgery in Laguna Hills, California. Qualified in 1999, 27 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California, Illinois and Indiana.

Years since qualifying
27
Licensed in
CA, IL, IN
In the registry since
2006
Specialties on file
3
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

24022 Calle De La Plata Ste 415
Laguna Hills, CA 92653-3630
Phone: (219) 381-0846
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence C147602 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 01060759A (IN)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 036.113732 (IL)

Record details

NPI number1659314540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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