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

Kevin William Canedy, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1609545656

Kevin William Canedy, PHYSICIANASSISTANT is a Physician Assistant in Coachella, California. Qualified in 2018, 8 years ago. Practices with Indio Emergency Medical Group Inc, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2021

Practice location Address checks out

1293 6th St
Coachella, CA 92236-1707
Phone: (760) 391-5151
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609545656
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 12, 2021
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address1293 6th St, Coachella, CA 92236-1707

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Indio Emergency Medical Group Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Coachella