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

Kevin Michael Henry, MD

Individual provider Family Medicine Physician · NPI 1205032687

Kevin Michael Henry, MD is a Family Practice in Santa Maria, California. Graduated from University of New Mexico School of Medicine in 2007, 19 years ago. Practices with Pacific Central Coast Health Centers, a 250-clinician group and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
19
Trained at
University of New Mexico School of Medicine
Licensed in
CA, NM
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.

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Practice location Address checks out

235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone: (805) 739-3561
Fax: (805) 739-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C175784 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD2010-0591 (NM)

Record details

NPI number1205032687
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Pacific Central Coast Health Centers — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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