Individual provider Active NPI

Kwesi St. Louis, M.D

  • Orthopaedic Surgery Physician
  • Torrance, CA
National Provider Identifier
1417362435
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A160826 Issued in CA
Practice address
5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone
(310) 316-6190
Fax
(310) 540-7362
NPI assigned
Jun 27, 2014
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A160826 CA Primary

Addresses

Primary practice location

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009

Mailing address

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone (310) 316-6190

Other practice location 1

2200 E Maple Ave
El Segundo, CA 90245-6507
Phone (310) 316-6190

Other identifiers 1

IdentifierTypeStateIssuer
A160826OtherCAMD LICENSE

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
I20190809002518 CA Practitioner - Orthopedic Surgery 1355678525 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160826CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Orthopaedic and Sports Medicine Group Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
DHP of Twin Cities Medical Group Inc Orthopaedic Surgery CurrentSince Dec 27, 2022 Accepting new patients
Shahin S. Rad, M.D. PC Orthopaedic Surgery CurrentSince Sep 15, 2022 Accepting new patients

Locations

2200 E Maple Ave
El Segundo, CA 90245
Phone (310) 316-6190

16311 Ventura Blvd
Ste 1150
Encino, CA 91436
Phone (818) 477-0787

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

5215 Torrance Blvd
Ste 210
Torrance, CA 90503
Phone (310) 316-6190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD
  • Direct secure messaging: kwesi.stlouismd.p1@direct.bpasten.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1417362435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Maple Ave",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902456507",
            "country_code": "US",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. LOUIS",
        "first_name": "KWESI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A160826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "A160826",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.