Active NPI
Kara Odom Walker, MD, MPH, MSHS
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A93624
- Practice address
- 911 Broxton Ave FL 3
Los Angeles, CA 90024-2801 - Phone
- (310) 794-2268
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A93624 | CA | Primary |
Addresses
Primary practice location
911 Broxton Ave FL 3
Los Angeles, CA 90024-2801
Mailing address
2130 Harrison St Apt 7
San Francisco, CA 94110-1393
Other names 1
- Dr. Kara Lynn Odom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93624 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Westside Family Healthcare, Inc | Current | Accepting new patients | |
| UCLA Family Practice | Family Medicine | Past | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576
Interoperability endpoints
- kwalker110361@direct.nemours.org
Ownership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Vermont Medical Center | Hospital | Corporate Director | Jan 1, 2021 |
| University of Vermont Medical Center Inpatient Rehabilitation Unit | Hospital | Corporate Director | Jan 1, 2021 |
| The University of Vermont Health Network-Alice Hyde Medical Center | Hospital | Corporate Director | Jan 1, 2021 |
| The University of Vermont Health Network-Alice Hyde Medical Center | Hospital | Corporate Director | Jan 1, 2021 |
| Helen Porter Healthcare and Rehabilitation Center | Skilled nursing facility | Corporate Director Trustee of the SNF |
Jan 1, 2021 Jan 1, 2021 |
| Alice Hyde Nursing Home | Skilled nursing facility | Corporate Director Trustee of the SNF |
Jan 1, 2021 Jan 1, 2021 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
Corporate Director, Trustee of the SNF
-
- Medicare Defined Swing Bed Hospital Unit
- Malone, NY
- NPI 1689369696
Corporate Director
-
- Skilled Nursing Facility
- Middlebury, VT
- NPI 1932108222
Corporate Director, Trustee of the SNF
-
- Rehabilitation Hospital Unit
- Colchester, VT
- NPI 1205873486
Corporate Director
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
Corporate Director
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1477511046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1164550687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 HARRISON ST APT 7",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BROXTON AVE FL 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242801",
"telephone_number": "310-794-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KARA",
"middle_name": "ODOM",
"name_prefix": "Dr.",
"credential": "MD, MPH, MSHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A93624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARA",
"last_name": "ODOM",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "MD, MPH",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.