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

Edwin Nathaniel Kendrick III, MD

Individual provider Vascular Surgery Physician · NPI 1265730618

Edwin Nathaniel Kendrick III, MD is a Vascular Surgery in Ontario, California. Graduated from Morehouse School of Medicine in 2001, 25 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Trained at
Morehouse School of Medicine
Licensed in
CA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Inland Empire Blvd Ste 275
Ontario, CA 91764-5582
Phone: (626) 623-6040
Fax: (909) 366-5940
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence C56176 (CA)

Record details

NPI number1265730618
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2011
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022
Mailing address3200 Inland Empire Blvd Ste 275, Ontario, CA 91764-5582

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services