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

Kevin Blackney, MD

Individual provider Anesthesiology Physician · NPI 1417146788

Kevin Blackney, MD is an Anesthesiology in Stanford, California. Graduated from Saint Louis University School of Medicine in 2007, 19 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
19
Trained at
Saint Louis University School of Medicine
Licensed in
CA, MA
In the registry since
2007
Specialties on file
2
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 498-7516
Fax: (650) 498-5840
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 136658 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 251185 (MA)

Record details

NPI number1417146788
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2007
Last updated in NPPESDecember 21, 2021
Mailing address1804 Embarcadero Rd, Palo Alto, CA 94303-3341

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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