Active NPI
Kara Yaeko Kerns, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Newport Beach, CA
National Provider Identifier
1174803431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- A125507
- 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, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174803431 | Other | NPI |
Other names 1
- Dr. Kara Y Ishikawa
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125507 | CA | MD | Internal Medicine Physician |
| 279191-1 | NY | MD | Internal 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.
-
- Hospitalist Physician
- Newport Beach, CA
- NPI 1992750137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.