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

Kendra Marie Black, MD

Individual provider Surgical Critical Care Physician · NPI 1225482425

Kendra Marie Black, MD is a General Surgery in San Diego, California. Qualified in 2016, 10 years ago. Practices with UT Regional One Physicians Inc, a 327-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
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

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2301 Holmes St, Kansas City, MO 64108-2677 — (816) 404-4175
  • 4401 Wornall Rd, Kansas City, MO 64111-3241 — (816) 932-2107
  • 7900 Lees Summit Rd, Kansas City, MO 64139-1246 — (816) 404-4862

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A176120 (CA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence A176120 (CA)

Record details

NPI number1225482425
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ut Regional One Physicians Inc — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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