Chloe Kudirka

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

520 W Palmdale Blvd Ste a
Palmdale, CA 93551-4230

Phone

(818) 661-0443

NPI assigned

Sep 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Cosmetics Laser Care a Medical CorporationGroup PAC ID 5395659460, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Advanced Dermatology & Cosmetics Laser Care a Medical Corporation

  • Specialist
  • Valencia, CA
  • NPI 1912026097
  Medicare reassignment Care Compare group
• TP Dermatology, PC

  • Dermatology Physician
  • West Hills, CA
  • NPI 1942786850
  Medicare reassignment

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1104602119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PALMDALE BLVD STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W PALMDALE BLVD STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514230",
            "telephone_number": "818-661-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDIRKA",
        "first_name": "CHLOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radha Krishnan, MD
• Alejandra Krueger
• Krystal Klear Imaging
• Anna Krzysiak, PT
• Lucjan Krzysiak, MD
• Susan Ellen Kudlick
• Asako Kudo-Markert, M.S.
• Seon Brian Kum, M.D.
• Kain Kumar, M.D., PHD
• Nalinkant Kurani

• Physician Assistant in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.