KENNETH R. WULFF (MD) – Child & Adolescent Psychiatry Physician, NPI 1124105085
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
Provider Addresses for KENNETH R. WULFF (MD)
1503 SPRING HILL RD
PETALUMA, CA 949529305
Phone: (707) 559-3895
Type: Mailing
1691 Gramercy Ave
Torrance, CA 905013236
Phone: (310) 320-0195
Type: Location
250 Joann St
Costa Mesa, CA 926266455
Phone: (949) 631-9045
Type: Location
537 W 8th St
San Pedro, CA 907313119
Phone: (310) 834-1198
Type: Location
1597 Baker St
Costa Mesa, CA 926263746
Phone: (714) 435-7940
Type: Location
Building K, 1400, Emeline Avenue, Eastside, Santa Cruz, Santa Cruz County, California, 1982, United States
SANTA CRUZ, CA 950601976
Phone: (831) 454-4170
Type: Mailing
Kaiser Permanente Milpitas Medical Office, 770, East Calaveras Boulevard, Milpitas, Santa Clara County, California, 95035, United States
MILPITAS, CA 950355491
Phone: (650) 945-2900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $516.
Total Amount is formed as General ($516) + Research ($0) + Ownership ($0) = $516.
Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Alkermes, Inc. ($225).
Total Amount
$516
General + Research + Ownership
Payments
21
Total payment records
General Amount
$516
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $225 |
| Teva Pharmaceuticals USA, Inc. | $161 |
| Otsuka America Pharmaceutical, Inc. | $38 |
| Axsome Therapeutics, Inc. | $28 |
| ITI, Inc. | $25 |
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: 2016-01-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160115001887 | I | Psychiatry | CA | TBD |
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.
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 94952)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Physician Assistant | NC | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
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