Individual provider Active NPI

Kenith K Paresa, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
National Provider Identifier
1013952159
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A66233 Issued in CA
Practice address
11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785
Phone
(424) 248-8325
Fax
(310) 943-2161
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A66233 CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785

Mailing address

11740 San Vicente Blvd # 109440
Los Angeles, CA 90049-6610
Phone (310) 659-9566

Other identifiers 1

IdentifierTypeStateIssuer
00A662330MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000233 CA Practitioner - Physical Medicine and Rehabilitation 1759423999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Hawaii John a. Burns School of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1964 Westwood Blvd
Suite 435
Los Angeles, CA 90025-4695
Phone (310) 856-9488

Hospital & facility affiliations

  • Virginia Home Care Agency Home health agency, Pasadena, CA, CCN 058152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66233CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jrheemd Professional Corporation Pain Medicine Current Accepting new patients
Kenith K Paresa, MD a Professional Corp Pain Medicine CurrentSince Oct 2, 2000 Accepting new patients
Srikanth S Rao D O a Professional Corporation Pain Medicine Past Accepting new patients

Locations

1964 Westwood Blvd
Ste 435
Los Angeles, CA 90025
Phone (310) 856-9488

6221 Wilshire Blvd
Ste 620
Los Angeles, CA 90048
Phone (323) 556-0090

11600 Wilshire Blvd
Ste 406
Los Angeles, CA 90025
Phone (310) 422-4246

15332 Antioch St
Ste 530
Pacific Palisades, CA 90272

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1013952159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SAN VICENTE BLVD # 109440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496610",
            "telephone_number": "310-659-9566",
            "fax_number": "310-360-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251785",
            "telephone_number": "424-248-8325",
            "fax_number": "310-943-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARESA",
        "first_name": "KENITH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A66233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A662330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.