Kenneth Vereschagin, MD - Pediatrics in Santa Clara, CA

Kenneth Vereschagin, MD is a Pediatrics - Sports Medicine physician based in Santa Clara, California. Kenneth Vereschagin is licensed to practice in California (license number G61515) and his current practice location is 2652 El Camino Real, Santa Clara, California. He can be reached at his office (for appointments etc.) via phone at (408) 524-5952.

NPI number for Kenneth Vereschagin is 1497837785 and his current mailing address is 2350 W El Camino Real, 2nd Floor, Mountain View, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497837785.

Contact Information

Kenneth Vereschagin, MD
2652 El Camino Real,
Santa Clara, CA 95051-3041
(408) 524-5952
Not Available

Map and Direction




Physician's Profile

Full NameKenneth Vereschagin
GenderMale
SpecialityPediatrics - Sports Medicine
Location2652 El Camino Real, Santa Clara, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497837785
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 12/02/2011

Medical Identifiers

Medical identifiers for Kenneth Vereschagin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497837785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0010XPediatrics - Sports Medicine G61515 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Vereschagin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Vereschagin, MD
2350 W El Camino Real, 2nd Floor,
Mountain View, CA 94040-6201

Ph: () -
Kenneth Vereschagin, MD
2652 El Camino Real,
Santa Clara, CA 95051-3041

Ph: (408) 524-5952

Reviews and Comments


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