WILLIAM KENNETH HALLIDAY (M.D.) – Cardiovascular Disease Physician, NPI 1013021708

WILLIAM KENNETH HALLIDAY (M.D.) is a healthcare provider. based in Cerritos, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. A23526 (CA). The NPI Number for WILLIAM KENNETH HALLIDAY (M.D.) is 1013021708

Main info

Male
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM KENNETH HALLIDAY (M.D.)
NPI
1013021708
Phone
(562) 977-4674
Address
12900 PARK PLAZA DR STE 150
Enumeration Date
18 August 2006
Last Update Date
29 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5626222800
Graduation Year
1968 (58 years ago)
PAC ID
4587675368
Group Practice PAC ID
8921419813
Professional Enrollment ID
I20060508000705
Address ID
CA907039329CE12900DRXX417
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

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Provider Addresses for WILLIAM KENNETH HALLIDAY (M.D.)

  • Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States

    CERRITOS, CA 907039329

    Phone: (562) 977-4674

    Fax: (562) 741-4479

    Type: Mailing

  • 2444, West Beverly Boulevard, Montebello, Los Angeles County, California, 90640, United States

    MONTEBELLO, CA 906402306

    Phone: (323) 201-4130

    Fax: (323) 201-4134

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060508000705ICardiovascular Disease (Cardiology)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921419813View full group profile
NameSpecialtyState
Internal MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Where can patients find WILLIAM KENNETH HALLIDAY (M.D.)'s NPI?
You can confirm WILLIAM KENNETH HALLIDAY (M.D.) with NPI 1013021708; it appears in the national provider directory.
Is WILLIAM KENNETH HALLIDAY (M.D.) currently active in the NPI registry?
CMS-published data lists WILLIAM KENNETH HALLIDAY (M.D.) as an active registrant.
What field does WILLIAM KENNETH HALLIDAY (M.D.) work in?
You can think of WILLIAM KENNETH HALLIDAY (M.D.) as practicing within Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is WILLIAM KENNETH HALLIDAY (M.D.)'s primary listing?
We display Cerritos, California because that is what the record indicates for WILLIAM KENNETH HALLIDAY (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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