IndividualActive
Derrick Kennedy
NPI 1255922118 · Case Manager/Care Coordinator · San Rafael, CA
Derrick Kennedy is a Case Manager/Care Coordinator provider in San Rafael, CA (NPI 1255922118).
Provider details
- NPI number
- 1255922118
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1089 Lea Dr
San Rafael, CA 94903-3746
Phone: (510) 368-0651
Street-level locationGet directions
Mailing address
1089 Lea Dr
San Rafael, CA 94903-3746
Additional practice locations (2)
- 5751 Adeline StOakland, CA 94608-2815Phone: (510) 368-0651
- 51 Elda DrSan Rafael, CA 94903-3723Phone: (510) 368-0651
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Derrick Kennedy's NPI number?
- Derrick Kennedy's National Provider Identifier (NPI) is 1255922118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Kennedy's specialty?
- Derrick Kennedy is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Derrick Kennedy located?
- Derrick Kennedy's practice location on file with NPPES is 1089 Lea Dr, San Rafael, CA 94903-3746.
- What is Derrick Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Derrick Kennedy is (510) 368-0651.
- Is Derrick Kennedy's NPI active?
- Yes — Derrick Kennedy's NPI (1255922118) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.