Dolly Kerin Weisserman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C56036 Issued in CA

Practice address

16547 Park Lane Cir
Los Angeles, CA 90049-1184

Phone

(248) 980-3655

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dolly Kerin Weisserman Other name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Providence Saint Johns Medical Foundation

  dba Saint John's Physician Partners

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734
  Medicare reassignment NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1083721591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WILSHIRE BLVD STE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035626",
            "telephone_number": "310-453-9010",
            "fax_number": "310-828-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16547 PARK LANE CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491184",
            "telephone_number": "248-980-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERIN WEISSERMAN",
        "first_name": "DOLLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C56036",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C56036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dweisserman476644@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1811 Wilshire Blvd Ste 110",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOLLY",
            "last_name": "KERIN WEISSERMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Farough Kerendi, M.D.
• Bita Kerendian Partiyeli
• Anita Kerendian-Hakimi, O.D.
• Farzin Kerendian, D.O.
• Saba Kerendian
• Carlene Kerker
• Susan Kerkoutian, M.D.
• Kerlan Jobe
• Kerlan-Jobe Orthopaedic Clinic
• Kerlan-Jobe Surgery Center LLC

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.