Active NPI
Kavitha S Kotrappa, M.D.
- Family Medicine Physician
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53418
- Practice address
- 502 Torrance Blvd
Redondo Beach, CA 90277-3413 - Phone
- (310) 316-0811
- NPI assigned
- Apr 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53418 | CA | Primary |
Addresses
Primary practice location
502 Torrance Blvd
Redondo Beach, CA 90277-3413
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
150 W. Foothill Blvd
San Dimas, CA 91773-1102
Phone (909) 599-9921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A53418A | Other | CA | PPIN |
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
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2025 E Route 66
Glendora, CA 91740-4670
Phone (626) 335-4610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53418 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
2025 E Route 66
Glendora, CA 91740
Phone (323) 720-1144
502 Torrance Blvd
Redondo Beach, CA 90277
Phone (213) 316-0811
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
1330 W Covina Blvd
Ste 201
San Dimas, CA 91773
Phone (626) 999-9118
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kkotrappa206669@westdirect.optum.com
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766880000000",
"number": "1376505263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 TORRANCE BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773413",
"telephone_number": "310-316-0811"
}
],
"practiceLocations": [
{
"address_1": "150 W. Foothill Blvd",
"address_purpose": "LOCATION",
"city": "San Dimas",
"state": "CA",
"postal_code": "917731102",
"country_code": "US",
"telephone_number": "909-599-9921",
"fax_number": "909-592-3147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTRAPPA",
"first_name": "KAVITHA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2025-12-28",
"certification_date": "2025-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A53418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "A53418A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.