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

Kevin Kinzinger, MD

Individual provider Specialist · NPI 1760554232

Kevin Kinzinger, MD is a Colorectal Surgery (Proctology) in Fullerton, California. Graduated from University of Southern California Keck School of Medicine in 1984, 42 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
3
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

1950 Sunny Crest Dr Ste 3500
Fullerton, CA 92835-3646
Phone: (714) 408-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence G55613 (CA)
Specialist Taxonomy 174400000X · Licence G55613 (CA)
Surgery Physician Taxonomy 208600000X · Licence G55613 (CA)

Record details

NPI number1760554232
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835-3646

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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