Organization Active NPI

Mary C Kerr, M.D. Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1154520229
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A65874 Issued in CA
Legal business name
MARY C KERR, M.D. INC
Practice address
822 S Robertson Blvd Ste 304
Los Angeles, CA 90035-1632
Phone
(310) 275-3440
Fax
(310) 275-3452
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Mary C Kerr, M.D.NPI 1700900917
Title
Owner/Director
Phone
(310) 275-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A65874 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 304
Los Angeles, CA 90035-1632

Mailing address

822 S Robertson Blvd Ste 304
Los Angeles, CA 90035-1632
Phone (310) 275-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000469 CA Part B Supplier - Clinic/Group Practice 7315020450 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

150 N Robertson Blvd
Ste 270
Beverly Hills, CA 90211
Phone (310) 275-3440

822 S Robertson Blvd
Ste 304
Los Angeles, CA 90035
Phone (310) 275-3440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1154520229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351632",
            "telephone_number": "310-275-3440",
            "fax_number": "310-275-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351632",
            "telephone_number": "310-275-3440",
            "fax_number": "310-275-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C KERR, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "310-275-3440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65874",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.