Individual provider Active NPI

Kara Yaeko Kerns, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Newport Beach, CA
National Provider Identifier
1174803431
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A125507 Issued in CA
Practice address
1 Hoag Dr BLDG 41
Newport Beach, CA 92663-4162
Phone
(949) 764-7647
Fax
(657) 241-7720
NPI assigned
Aug 18, 2011
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125507 CA
Internal Medicine Physician 207R00000X 279191-1 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 279191 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A125507 CA Primary

Addresses

Primary practice location

1 Hoag Dr BLDG 41
Newport Beach, CA 92663-4162

Mailing address

PO Box 3589
Newport Beach, CA 92659-8589
Phone (657) 241-3600

Other practice location 1

16105 Sand Canyon Ave
Irvine, CA 92618-3778
Phone (949) 764-7647

Other identifiers 1

IdentifierTypeStateIssuer
1174803431OtherNPI

Other names 1

  • Dr. Kara Y Ishikawa Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222002345 CA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 1658508692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125507CAMDInternal Medicine Physician
279191-1NYMDInternal Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1174803431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3589",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598589",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR BLDG 41",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-7647",
            "fax_number": "657-241-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16105 Sand Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183778",
            "country_code": "US",
            "telephone_number": "949-764-7647",
            "fax_number": "657-241-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNS",
        "first_name": "KARA",
        "middle_name": "YAEKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125507",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279191-1",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "279191",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A125507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174803431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "ISHIKAWA",
            "middle_name": "Y",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.