IndividualActive
Kenny Roosevelt, N/A
NPI 1710703087 · Specialist · San Francisco, CA
Kenny Roosevelt, N/A is a Specialist provider in San Francisco, CA (NPI 1710703087).
Provider details
- NPI number
- 1710703087
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- N/A
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
1380 Howard St Fl 2
San Francisco, CA 94103-2649
Phone: (628) 754-9216
Street-level locationGet directions
Mailing address
1380 Howard St Fl 2
San Francisco, CA 94103-2649
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Frequently asked questions
- What is Kenny Roosevelt's NPI number?
- Kenny Roosevelt's National Provider Identifier (NPI) is 1710703087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Roosevelt's specialty?
- Kenny Roosevelt is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kenny Roosevelt located?
- Kenny Roosevelt's practice location on file with NPPES is 1380 Howard St Fl 2, San Francisco, CA 94103-2649.
- What is Kenny Roosevelt's phone number?
- The practice phone number listed in the NPPES registry for Kenny Roosevelt is (628) 754-9216.
- Is Kenny Roosevelt's NPI active?
- Yes — Kenny Roosevelt's NPI (1710703087) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.