Kehinde Akintunji, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Lawndale, CA
NPI 1124404207 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1124404207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 20920 (CA)
- Practice address
- 15603 Hawthorne Blvd
Lawndale, CA 90260-2639 - Phone
- (310) 644-4488
- Fax
- (310) 679-4035
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190308000391 | CA | Practitioner - Nurse Practitioner | 5294089652 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20920 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20920 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 20920 | CA | Yes |
Addresses
Primary practice location
15603 Hawthorne Blvd
Lawndale, CA 90260-2639
Mailing address
15603 Hawthorne Blvd
Lawndale, CA 90260-2639
Phone (310) 644-4488
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Lawndale, CA
- Advanced Rehab Therapy
- Advanced Rehab Therapy Inc.
- Renna Ady
- Afshin Doostan,D.D.S.,Inc
- Agapeheart Home Health Services LLC
- Albert Ehrhardt'S Beautiful Smile Dental Group
- Jhonatan Aleman
- Abdel Alhassan
- Allied Medical Group, Inc
- Denise Alvarado
All providers in Lawndale, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.