Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790148583 Individual Practitioner Male Practitioner

Dr. Kenneth James , MD

Pediatrics • Ceres, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth James, MD is a registered healthcare professional specializing in Pediatrics in Ceres, CA. Practice services are available at 1920 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1920 Memorial Dr

Ceres, CA 953071827

Telephone 2095413000
Associated Practice Facility / Clinic
🏢 Stanislaus County Bhrs Facility NPI 1649303546

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ceres, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Ceres, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA 199796

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME141288

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103290800 (FL)

Secondary Practice Locations

6181 N Federal Hwy

Fort Lauderdale, FL 333082227

Phone: 9543155784

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1285712760

Doctor of Medicine (M.D.)

NPI 1538231592

Doctor of Dental Medicine

Cynthia Leung , FNP

Nurse Practitioner - Family

NPI 1689110322

Family Nurse Practitioner

Dr. Robert Stout , DMD

Dentist - General Practice

NPI 1699413351

Doctor of Dental Medicine

Heydi Herrera , LCSW

Social Worker - Clinical

NPI 1699894097

Licensed Clinical Social Worker

NPI 1801372305

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 17, 2025

Registered at 1920 MEMORIAL DR, CERES, CA 953071827 (Tel: 2095413000)

📍
Updated Practice Location February 15, 2022

Registered at 6181 N FEDERAL HWY, FORT LAUDERDALE, FL 333082227 (Tel: 9543155784)

📍
Updated Practice Location July 11, 2019

Registered at 789 S FEDERAL HWY, FORT LAUDERDALE, FL 333161245 (Tel: 9543155784)

📍
Updated Business Mailing Address July 11, 2019

Registered at 900 S PINE ISLAND RD STE 800, PLANTATION, FL 333243923 (Tel: 9543155784)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Pediatrics (License #ME141288 in FL)

📍
Updated Practice Location August 22, 2018

Registered at 744 1ST ST, MACON, GA 31201 (Tel: 4786337600)

📍
Updated Business Mailing Address August 22, 2018

Registered at 744 1ST ST, MACON, GA 312016840 (Tel: 4786337600)

👤
Provider Name / Credentials Updated August 22, 2018

Recorded as KENNETH JAMES, MD

NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2016

Registered at 777 HEMLOCK ST, MSC#42, MACON, GA 312012102 (Tel: 4786337600)

📍
Updated Business Mailing Address March 30, 2016

Registered at 777 HEMLOCK ST, MSC#42, MACON, GA 312012102 (Tel: 4786337600)

👤
Provider Name / Credentials Updated March 30, 2016

Recorded as KENNETH JAMES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790148583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2016
Last Update: April 17, 2025
Sole Proprietor: No

Mailing Address

900 S Pine Island Rd Ste 800

Plantation, FL 333243923

Phone: 9543155784

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.