Kenrick Bourne, PA-C
NPI 1063690931 · Physician Assistant · San Jacinto, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenrick Bourne, PA-C is a Physician Assistant provider in San Jacinto, CA (NPI 1063690931).
Provider details
- NPI number
- 1063690931
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA12018 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
18 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 222 | 53 |
| Gabapentin | 116 | 34 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 115 | 33 |
| Diclofenac Sodium | 94 | 27 |
| Cyclobenzaprine Hcl | 71 | 17 |
| Lidocaine | 59 | 18 |
| Methocarbamol | 50 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,656 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Frequently asked questions
- What is Kenrick Bourne's NPI number?
- Kenrick Bourne's National Provider Identifier (NPI) is 1063690931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenrick Bourne's specialty?
- Kenrick Bourne is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenrick Bourne located?
- Kenrick Bourne's practice location on file with NPPES is 1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583-5103.
- What is Kenrick Bourne's phone number?
- The practice phone number listed in the NPPES registry for Kenrick Bourne is (951) 330-3100.
- Does Kenrick Bourne accept Medicare?
- Kenrick Bourne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenrick Bourne's NPI active?
- Yes — Kenrick Bourne's NPI (1063690931) is active in the NPPES registry as of the last update on 2024-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.