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

Kenneth Vereschagin, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1497837785

Kenneth Vereschagin, MD is a Pediatric Sports Medicine Physician in Santa Clara, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

2652 El Camino Real
Santa Clara, CA 95051-3041
Phone: (408) 524-5952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence G61515 (CA)

Record details

NPI number1497837785
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESDecember 2, 2011