Kharen Acevedo, NP
Individual provider Active NPI Family Nurse Practitioner · Los Angeles, CA
NPI 1336737253 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1336737253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95014907 (CA)
- Practice address
- 6801 Park Ter
Los Angeles, CA 90045-1543 - Phone
- (310) 301-0015
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1670 E 120TH St
Los Angeles, CA 90059-3026
335 E Ave I
Lancaster, CA 93535-1916
Hospital & facility affiliations
- Lac/Harbor-UCLA Med Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622002375 | CA | Practitioner - Nurse Practitioner | 2062985062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014907 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 95014907 | CA | Yes |
Addresses
Primary practice location
6801 Park Ter
Los Angeles, CA 90045-1543
Mailing address
23301 Clearpool PL
Harbor City, CA 90710-1106
Phone (424) 201-9279
Other providers in Los Angeles, CA
- Josseline Acevedo
- Karina Acevedo
- Karina Isabella Acevedo
- Karina Vanessa Acevedo
- Kemberlyn Dayanae Acevedo
- Luciano Acevedo
- Martha Acevedo
- Melissa Cerda Acevedo
- Mynor Jeovany Acevedo
- Nicole Acevedo
All providers in Los Angeles, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.