Individual provider Active NPI

Catherine Kestenian

  • Gerontology Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1124634886
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95014952 Issued in CA
Practice address
351 E Foothill Blvd Ste 250
Arcadia, CA 91006-7426
Phone
(818) 397-2255
Fax
(818) 553-6656
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95014952 CA
Gerontology Nurse Practitioner 363LG0600X 95014952 CA Primary

Addresses

Primary practice location

351 E Foothill Blvd Ste 250
Arcadia, CA 91006-7426

Mailing address

1241 E Elmwood Ave
Burbank, CA 91501-1615
Phone (818) 397-2255

Other practice location 1

1241 E Elmwood Ave
Burbank, CA 91501-1615
Phone (818) 397-2255

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002036 CA Practitioner - Nurse Practitioner 5092116434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.74
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014952CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Oaks Emergency Medical Associates CurrentSince Dec 16, 2021 Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. CurrentSince May 16, 2021 Accepting new patients
Hospice of Grace and Palliative Care Inc Current Accepting new patients
Hospice of Grace and Palliative Care Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

351 E Foothill Blvd
Ste 250
Arcadia, CA 91006
Phone (818) 397-2255

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Grace and Palliative Care IncArcadia, CA, CCN B51536 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Dec 1, 2022
Dec 1, 2022
Dec 1, 2022
Dec 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1124634886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E ELMWOOD AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011615",
            "telephone_number": "818-397-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 E FOOTHILL BLVD STE 250",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067426",
            "telephone_number": "818-397-2255",
            "fax_number": "818-553-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 E Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915011615",
            "country_code": "US",
            "telephone_number": "818-397-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESTENIAN",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95014952",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95014952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.