Active NPI
Kenith K Paresa, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A66233
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A662330 | Medicaid | CA |
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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66233 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jrheemd Professional Corporation | Pain Medicine | Current | Accepting new patients |
| Kenith K Paresa, MD a Professional Corp | Pain Medicine | Current | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
- NPI 1801118716
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
- NPI 1659432409
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Beverly Hills, CA
- NPI 1881865855
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pasadena, CA
- NPI 1194882530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.