Kristin Woolley, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A140077 Issued in CA

Practice address

132 43Rd St
Manhattan Beach, CA 90266-3007

Phone

(310) 867-0510

NPI assigned

Feb 19, 2016

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Family Health CenterGroup PAC ID 5597675041, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kristin.woolley.p1@direct.scfhc.nextgenshare.com
• Direct secure messaging: kristin.woolley@338779171913732.direct.elationemr.com

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.

• South Central Family Health Center

  dba Huntington Park Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington Park, CA
  • NPI 1669799896
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• South Central Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1396891909
  NPD
• South Central Family Health Center

  dba SCFHC - Santa Fe

  • Federally Qualified Health Center (FQHC)
  • Huntington Park, CA
  • NPI 1487218970
  NPD

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1245699164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 43RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663007",
            "telephone_number": "310-867-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 43RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663007",
            "telephone_number": "310-867-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A140077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyungjun Won, AMFT
• Andrew King-Wah Wong, M.D.
• Joanna May Wong, MD
• Alison Erica Wood, LMFT, ATR-BC
• Heather G Wood, D.D.S.
• Andrea W Wu, MD
• Monica S. Wu, PH.D.
• Tina Wu, MD
• Kelly Grace Wynkoop, DC
• Anthony Rikio Yamada, DDS

• Surgery Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.

Verify at the official NPI Registry.