Rebecca Kenkel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14908 Issued in CA

Practice address

827 Deep Valley Dr
Ste 311
Rolling Hills Estates, CA 90274-3655

Phone

(310) 541-3411

NPI assigned

Jun 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Palos Verdes Family VisionGroup PAC ID 6103882832, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Palos Verdes Family Vision

  • Optometrist
  • Rolling Hills Estates, CA
  • NPI 1215143615
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1255744462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "STE 311",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743655",
            "telephone_number": "408-499-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "STE 311",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743655",
            "telephone_number": "310-541-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENKEL",
        "first_name": "REBECCA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14908TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeeun Jung, LAC
• Katrina Celeste Kaemmerer, D.O.
• Lauren Kai
• Yoo Jin Kang, DAOM, MSAOM, LAC
• Brian Akira Kawai, DDS
• Mojdeh Keshavarz, CPHT
• Rashida Khan, MED., LMFT
• Anne Catherine Khodayari, APCC, MT-BC
• Wayne Minoru Kishimoto, M.D.
• Jessica Ariel Kiss, D.O.

• Optometrist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Optometrist in California

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