Active NPI
Kathleen Marie Brennan, MD
- Reproductive Endocrinology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- A94984
- Practice address
- 1245 16TH St Ste 202
Santa Monica, CA 90404-1240 - Phone
- (310) 794-7274
- NPI assigned
- Oct 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A94984 | CA | |
| Reproductive Endocrinology Physician | 207VE0102X | A94984 | CA | Primary |
Addresses
Primary practice location
1245 16TH St Ste 202
Santa Monica, CA 90404-1240
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
200 Medical Plz
Ste 430
Los Angeles, CA 90095-0001
Phone (310) 794-7274
Other practice location 2
200 Ucla Medical Plz Ste 220
Los Angeles, CA 90095-8344
Phone (310) 794-7274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A949840 | 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
- Obstetrics/Gynecology
- Education
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Medical PLZ
Suite 430
Los Angeles, CA 90095-6957
Phone (310) 794-7274
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.28 of 100
- Quality
- 76.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94984 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Obstetrics & Gynecology | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
200 Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 794-8282
200 UCLA Medical Plz
Ste 220
Los Angeles, CA 90095
Phone (310) 794-7333
File 54456
Los Angeles, CA 90074
1245 16th St
Ste 202
Santa Monica, CA 90404
Phone (310) 453-1982
Interoperability endpoints
- kbrennan59294@direct.uclahealth.org
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Los Angeles, CA
- NPI 1073582888
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1306033741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 16TH ST STE 202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041240",
"telephone_number": "310-794-7274"
}
],
"practiceLocations": [
{
"address_1": "200 Medical Plz",
"address_2": "Ste 430",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900950001",
"country_code": "US",
"telephone_number": "310-794-7274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Ucla Medical Plz Ste 220",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958344",
"country_code": "US",
"telephone_number": "310-794-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNAN",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A94984",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "A94984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A949840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.