Active NPI
Stellios Karnezis, M.D.
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A112377
- Practice address
- 757 Westwood PLZ Ste 1621
Los Angeles, CA 90095-3075 - Phone
- (310) 267-6708
- Fax
- (310) 267-3635
- NPI assigned
- Apr 19, 2010
- Last updated
- Dec 16, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A112377 | CA | Primary |
Addresses
Primary practice location
757 Westwood PLZ Ste 1621
Los Angeles, CA 90095-3075
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Other practice location 1
4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700
Other practice location 2
23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone (818) 876-1050
Other practice location 3
1245 16th St Ste 110
Santa Monica, CA 90404-1240
Phone (310) 301-6800
Other practice location 4
100 Ucla Medical Plz Ste 100
Los Angeles, CA 90024-7000
Phone (310) 301-6800
Other practice location 5
335 N La Brea Ave
Los Angeles, CA 90036-2517
Phone (323) 634-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1123770 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Baylor College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
Interoperability endpoints
- skarnezis357520@scrippshlth.medalliesdirect.net
Organizations & group practices 8
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.
-
dba Martin Lurher King Jr. Community Medical Group
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1205152956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ STE 1621",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-267-6708",
"fax_number": "310-267-3635"
}
],
"practiceLocations": [
{
"address_1": "4323 W Riverside Dr",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054044",
"country_code": "US",
"telephone_number": "818-556-2700",
"fax_number": "818-295-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23388 Mulholland Dr",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913642733",
"country_code": "US",
"telephone_number": "818-876-1050",
"fax_number": "818-876-1026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1245 16th St Ste 110",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041240",
"country_code": "US",
"telephone_number": "310-301-6800",
"fax_number": "310-794-1428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Ucla Medical Plz Ste 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900247000",
"country_code": "US",
"telephone_number": "310-301-6800",
"fax_number": "310-794-9035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 N La Brea Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900362517",
"country_code": "US",
"telephone_number": "323-634-3850",
"fax_number": "323-938-9958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARNEZIS",
"first_name": "STELLIOS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A112377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1123770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.