Individual provider Active NPI

Kevin Foster, PA/NP

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1184851545
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 14057 Issued in CA
Practice address
1240 N Mission Rd
Los Angeles, CA 90033-1019
Phone
(323) 409-3750
NPI assigned
Jun 12, 2009
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 487853 CA
Medical Physician Assistant 363AM0700X PA 14057 CA Primary

Addresses

Primary practice location

1240 N Mission Rd
Los Angeles, CA 90033-1019

Mailing address

1240 N Mission Rd
Los Angeles, CA 90033-1019
Phone (323) 409-3750

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109001277 CA Practitioner - Physician Assistant 8224382213 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wound Care IncGroup PAC ID 4183137458, 2 clinicians
Ae Urgent Care - Van NuysGroup PAC ID 0749651750, 5 clinicians
First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

Practice addresses (Care Compare)

11177 Tampa Ave
Unit B
Porter Ranch, CA 91326-2254
Phone (747) 977-4321

14614 Victory Blvd
Van Nuys, CA 91411-1621
Phone (747) 264-1212

7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 352-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 14057CAMDMedical Physician Assistant
487853CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Profound Wound Specialists Inc CurrentSince Nov 1, 2025 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Aug 11, 2018 Accepting new patients
Abundantly Fruitful CurrentSince Jun 1, 2025 Accepting new patients
Integrated Wound Care and Support Services CurrentSince Jul 5, 2025 Accepting new patients
Central Wound Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Aug 11, 2018 Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

11145 Tampa Ave
Ste 27A
Porter Ranch, CA 91326
Phone (323) 447-2466

11177 Tampa Ave
Unit B
Porter Ranch, CA 91326
Phone (747) 977-4321

7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 352-8333

6356 Van Nuys Blvd
Ste 211
Van Nuys, CA 91401
Phone (747) 264-1322

803 Figueroa St
Wilmington, CA 90744
Phone (310) 830-0863

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kevin.foster.1@29357.direct.athenahealth.com

Organizations & group practices 10

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1184851545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331019",
            "telephone_number": "323-409-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331019",
            "telephone_number": "323-409-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA/NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "487853",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 14057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.