OrganizationActive
Penn, Kanaya, Dwelle, Md'S
NPI 1053417212 · Pediatrics Physician · Monterey, CA
Penn, Kanaya, Dwelle, Md'S is a Pediatrics Physician organization in Monterey, CA (NPI 1053417212).
Provider details
- NPI number
- 1053417212
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Penn, Kanaya, Dwelle, Md'S
- Organization subpart
- Yes
- Authorized official
- Kathie Stark, Executive Director(831) 372-5841
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 Garden Rd Ste 110
Monterey, CA 93940-5334
Phone: (831) 372-5841
Fax: (831) 372-4820
Street-level locationGet directions
Mailing address
1900 Garden Rd
Monterey, CA 93940-5373
Other names (DBA / former)
- Doing business as
- Pediatric Group of Monterey
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2010-06-25
Frequently asked questions
- What is Penn, Kanaya, Dwelle, Md'S's NPI number?
- Penn, Kanaya, Dwelle, Md'S's National Provider Identifier (NPI) is 1053417212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penn, Kanaya, Dwelle, Md'S?
- Penn, Kanaya, Dwelle, Md'S is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Penn, Kanaya, Dwelle, Md'S located?
- Penn, Kanaya, Dwelle, Md'S's practice location on file with NPPES is 1900 Garden Rd Ste 110, Monterey, CA 93940-5334.
- What is Penn, Kanaya, Dwelle, Md'S's phone number?
- The practice phone number listed in the NPPES registry for Penn, Kanaya, Dwelle, Md'S is (831) 372-5841.
- Who is the authorized official for Penn, Kanaya, Dwelle, Md'S?
- The authorized official listed on Penn, Kanaya, Dwelle, Md'S's NPPES record is Kathie Stark, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penn, Kanaya, Dwelle, Md'S's NPI active?
- Yes — Penn, Kanaya, Dwelle, Md'S's NPI (1053417212) is active in the NPPES registry as of the last update on 2010-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.