Individual provider

Johanna Olson-kennedy, MD

Pediatric Adolescent Medicine Physician Medicare enrolled

Johanna Olson-kennedy, MD is a Pediatric Adolescent Medicine Physician in Pasadena, CA, registered under NPI 1396831665. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 301 S FAIR OAKS AVE STE 105, Pasadena, CA 91105. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

301 S FAIR OAKS AVE STE 105, Pasadena, CA 91105 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A067352 CA Pediatric Adolescent Medicine Physician
A67352 CA Pediatric Adolescent Medicine Physician primary

This provider holds licence A067352 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
8921015082
Enrollment ID
I20060314000650

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adolescent Medicine covers

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080A0000X Pediatric Adolescent Medicine Physician Adolescent Medicine A067352 CA
2080A0000X Pediatric Adolescent Medicine Physician Adolescent Medicine A67352 CA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396831665 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 5, 2006
Last updatedJun 22, 2026
StatusActive
Sole proprietorYes
GenderFemale
CredentialMD
Practice address 301 S FAIR OAKS AVE STE 105
Pasadena, CA 91105
(866) 846-5062
This record was updated on Jun 22, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1396831665 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 8 3 1 6 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 7 3 2 6 3

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396831665?
NPI 1396831665 is the National Provider Identifier assigned to Johanna Olson-kennedy, MD in Pasadena, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adolescent Medicine cover?
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
How do I contact Johanna Olson-kennedy, MD?
The phone number on file with NPPES is (866) 846-5062, last updated Jun 22, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Johanna Olson-kennedy, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396831665 a valid number?
Yes. 1396831665 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.