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

Travis Edmiston, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689093023

Travis Edmiston, MD is a Physical Medicine and Rehabilitation in Downey, California. Graduated from Oregon Health Sciences University School of Medicine in 2014, 12 years ago. Practices with Kennedy Krieger Associates, a 73-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
CA
In the registry since
2014
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

7601 Imperial Hwy
Downey, CA 90242-3456
Phone: (562) 385-7713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 543-3654

Specialties & licences

Spinal Cord Injury Medicine Physician (primary) Taxonomy 2081P0004X · Licence 165566 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689093023
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESSeptember 20, 2019
Mailing address4025 Sw Condor Ave, Portland, OR 97239-4172

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Kennedy Krieger Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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