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

Kenneth R Stevens III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134569882

Kenneth R Stevens III is an Internal Medicine in San Diego, California. Graduated from Oregon Health Sciences University School of Medicine in 2015, 11 years ago. Practices with Ximed Hospitalists, Inc, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 — (503) 998-0614

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 148746 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134569882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 28, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Ximed Hospitalists, Inc. — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego