Mallory Adele Kennedy, OD

  • Grand Terrace, CA
  • Optometrist
NPI1538511837PAC ID3779638184
Part D claims, 2024
37
Affiliated sites
3
Medical groups
3
State license
1
Year NPI issued
2016
Practice address
11980 Mt Vernon Ave, Grand Terrace, CA 92313
Practice phone
Call (909) 864-1097
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Cahuilla Indian Health Clinic

Grand Terrace, California

See all 7 affiliations

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Mallory Adele Kennedy is an optometrist in Grand Terrace, California

Mallory Kennedy practices at Cahuilla Indian Health Clinic in Grand Terrace, California.

Mallory Kennedy's NPI, 1538511837, was assigned on July 11, 2016. Mallory Kennedy holds California license 33508TLG.

NPI and contact details
Medicare PAC ID
3779638184
NPI enumeration date
July 11, 2016
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(909) 864-1097
Professional email
Get email
Personal email
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Mobile number
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Sex
Female
Estimated age
36
Medical school graduation
2016

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Mallory Adele Kennedy practices at Cahuilla Indian Health Clinic in Grand Terrace, California

Mallory Kennedy's primary practice is Cahuilla Indian Health Clinic, at 11980 Mt Vernon Ave, Grand Terrace, CA 92313 in San Bernardino County. The practice phone is (909) 864-1097.

  • Cahuilla Indian Health Clinic
    11980 Mt Vernon Ave, Grand Terrace, CA 92313 · San Bernardino CountyPhone(909) 864-1097

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Mallory Adele Kennedy is affiliated with 4 sites of care and 3 medical groups

Mallory Kennedy's primary practice is Cahuilla Indian Health Clinic in Grand Terrace, California. The medical group on file is San Manuel Indian Health Clinic. Dmand AI also links Mallory Kennedy to 2 more group practices and clinics, 2 medical groups and 1 community health center, each named with a free account.

See all 7 affiliations for Mallory Kennedy

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Mallory Adele Kennedy's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Mallory Kennedy practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Cahuilla Indian Health ClinicAvailable with a free account
+3 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Mallory Adele Kennedy is one of 7,206 optometrists in California

Optometrist is Mallory Kennedy's primary specialty in the NPI Registry, under taxonomy code 152W00000X. Mallory Kennedy is licensed in California.

Specialties and state licenses

  • Optometrist, CaliforniaPrimaryLicense 33508TLG · taxonomy 152W00000X

Optometrists near Mallory Kennedy

Counts of optometrists with a Dmand AI profile, by place and practice. Each opens the list.

7,206optometrists in California
4optometrists in Grand Terrace

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Mallory Adele Kennedy's patients have a median age of 45

Across all payers, Dmand AI patient panel data puts Mallory Kennedy's median patient age at 45, with 60% women.

Mallory Kennedy's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 45

Patient panel by sex, all payers

  • Women60%
  • Men39%

Source: Dmand AI Patient Panel Data

Mallory Adele Kennedy wrote 37 Medicare Part D claims in 2024

In 2024, Mallory Kennedy wrote 37 Medicare Part D claims for 15 patients. 38% of them were for generic drugs.

Part D claims, 202437
Part D patients15

Mallory Kennedy's Part D claims by kind of drug, 2024

  • Generic14 claims38%
  • Brand-name23 claims62%

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Mallory Adele Kennedy takes part in Medicare

Mallory Kennedy accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

For MedTech and pharma teams

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Sources for Mallory Adele Kennedy's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Mallory Adele Kennedy

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Mallory Adele Kennedy's NPI number?

Mallory Adele Kennedy's NPI number is 1538511837. It was assigned on July 11, 2016, and it is active in the NPI Registry.

What does Mallory Adele Kennedy specialize in?

Mallory Adele Kennedy is an optometrist in Grand Terrace, California. The primary specialty in the NPI Registry is Optometrist (taxonomy code 152W00000X).

Where does Mallory Adele Kennedy practice?

Mallory Kennedy practices at 11980 Mt Vernon Ave, Grand Terrace, CA 92313. Mallory Kennedy's primary practice is Cahuilla Indian Health Clinic in Grand Terrace, California. Dmand AI also links Mallory Kennedy to 2 group practices and clinics, 2 medical groups and 1 community health center.

What is Mallory Adele Kennedy's office phone number?

The practice phone on file for Mallory Kennedy is (909) 864-1097.

What is Mallory Adele Kennedy's medical license number?

Mallory Kennedy holds California license 33508TLG.

What medical group is Mallory Adele Kennedy part of?

Mallory Kennedy is linked to San Manuel Indian Health Clinic. Dmand AI links Mallory Kennedy to 2 more medical groups.

Does Mallory Adele Kennedy accept Medicare?

Yes. CMS lists Mallory Kennedy as accepting Medicare assignment.

How long has Mallory Adele Kennedy been practicing?

Mallory Kennedy graduated from medical school in 2016, 10 years ago.

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