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

Kenneth Deaver, MD

Individual provider Emergency Medicine Physician · NPI 1649632878

Kenneth Deaver, MD is a Family Practice in Amite, Louisiana. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Louisiana.

Years since qualifying
10
Licensed in
CA, LA
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

301 Walnut St
Amite, LA 70422-2025
Phone: (985) 748-9485
Show map & directions

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

Additional practice locations (1)

  • 420 Avenue F, Bogalusa, LA 70427-3634 — (985) 735-6735

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 167908 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 320128 (LA)

Record details

NPI number1649632878
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2016
Last updated in NPPESNovember 29, 2021
Certification dateApril 10, 2021
Mailing address9333 Imperial Hwy, Downey, CA 90242-2812

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Amite