Individual provider Active NPI

Kara Odom Walker, MD, MPH, MSHS

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1164550687
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93624 Issued in CA
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

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628000045 DE Practitioner - Pediatric MedicinePractitioner - Family Practice 0345322707 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93624CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc. Current Accepting new patients
The Nemours Foundation CurrentSince Jan 7, 2022 Accepting new patients
The Nemours Foundation CurrentSince Jan 7, 2022 Accepting new patients
Westside Family Healthcare, Inc CurrentSince Jul 9, 2018 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
University of Vermont Medical CenterBurlington, VT, CCN 470003 Hospital Corporate Director Jan 1, 2021
University of Vermont Medical Center Inpatient Rehabilitation UnitColchester, VT, CCN 47T003 Hospital Corporate Director Jan 1, 2021
The University of Vermont Health Network-Alice Hyde Medical CenterMalone, NY, CCN 331321 Hospital Corporate Director Jan 1, 2021
The University of Vermont Health Network-Alice Hyde Medical CenterMalone, NY, CCN 33Z321 Hospital Corporate Director Jan 1, 2021
Helen Porter Healthcare and Rehabilitation CenterMiddlebury, VT, CCN 475017 Skilled nursing facility Corporate Director
Trustee of the SNF
Jan 1, 2021
Jan 1, 2021
Alice Hyde Nursing HomeMalone, NY, CCN 335127 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.

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.

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

Verify at the official NPI Registry.