Active NPI
Karenna Anne Dickerson, MD
- Obstetrics & Gynecology Physician
- Foothill Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C146775
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Clinic
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
- Memorialcare Saddleback Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C146775 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Hoag Clinic | Current | 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
- karenna.dickerson.1@10944.direct.athenahealth.com
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
CA, Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.