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

Kevin James Staggenborg, MD

Individual provider Anesthesiology Physician · NPI 1407350929

Kevin James Staggenborg, MD is an Anesthesiology in San Diego, California. Graduated from Virginia Tech Carilion School of Medicine in 2018, 8 years ago. Practices with Anesthesia Service Medical Group, a 237-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Virginia Tech Carilion School of Medicine
Licensed in
CA
In the registry since
2018
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

3626 Ruffin Rd
San Diego, CA 92123-1810
Phone: (858) 595-9666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A164826 (CA)

Record details

NPI number1407350929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESSeptember 24, 2023
Certification dateSeptember 24, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolVIRGINIA TECH CARILION SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Anesthesia Service Medical Group — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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