Individual provider Active NPI

Karenna Anne Dickerson, MD

  • Obstetrics & Gynecology Physician
  • Foothill Ranch, CA
National Provider Identifier
1295952810
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C146775 Issued in CA
Practice address
26672 Portola Pkwy Ste 108
Foothill Ranch, CA 92610-1773
Phone
(949) 829-5533
Fax
(949) 581-9158
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C146775 CA Primary

Addresses

Primary practice location

26672 Portola Pkwy Ste 108
Foothill Ranch, CA 92610-1773

Mailing address

26672 Portola Pkwy Ste 108
Foothill Ranch, CA 92610-1773
Phone (949) 829-5533

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017003428 CA Practitioner - Obstetrics/Gynecology 6800948811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

16105 Sand Canyon Ave
Suite 200
Irvine, CA 92618-3779
Phone (949) 829-5500

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C146775CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Aug 20, 2017 Accepting new patients
Hoag Clinic CurrentSince Sep 1, 2022 Accepting new patients

Locations

26672 Portola Pkwy
Ste 108
Foothill Ranch, CA 92610
Phone (949) 829-5533

16105 Sand Canyon Ave
Ste 200
Irvine, CA 92618
Phone (949) 829-5500

24411 Health Center Dr
Ste 200
Laguna Hills, CA 92653
Phone (949) 829-5500

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • Direct secure messaging: karenna.dickerson.1@10944.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kdickerson473142@direct.memorialcare.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1295952810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26672 PORTOLA PKWY STE 108",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101773",
            "telephone_number": "949-829-5533",
            "fax_number": "949-581-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26672 PORTOLA PKWY STE 108",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101773",
            "telephone_number": "949-829-5533",
            "fax_number": "949-581-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "KARENNA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C146775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

Verify at the official NPI Registry.