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

Gannon Daniel Kennedy, MD

Individual provider Orthopaedic Surgery Physician · NPI 1083933535

Gannon Daniel Kennedy, MD is an Orthopedic Surgery in Redwood City, California. Graduated from Miami Medical College in 2010, 16 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
Miami Medical College
Licensed in
CA
In the registry since
2010
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

500 Arguello St Ste 100
Redwood City, CA 94063-1567
Phone: (650) 995-1285
Fax: (650) 995-1208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4860 Y St, Sacramento, CA 95817-2307 — (916) 734-2700

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A117899 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A117899 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083933535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2010
Last updated in NPPESJanuary 4, 2022

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolMIAMI MEDICAL COLLEGE
Graduated 2010 (16 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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