Individual provider Active NPI

Karen Black, M.D.

  • Internal Medicine Physician
  • Torrrance, CA
National Provider Identifier
1427098086
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G066433 Issued in CA
Practice address
22930 Crenshaw Blvd.
#A
Torrrance, CA 90505-3048
Phone
(310) 530-4281
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G066433 CA Primary

Addresses

Primary practice location

22930 Crenshaw Blvd.
#A
Torrrance, CA 90505-3048

Mailing address

3521 Lomita Blvd Ste 103
Torrance, CA 90505-5041
Phone (310) 534-9131

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
I20071009000434 CA Practitioner - Internal Medicine 2961597729 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22390 Crenshaw Blvd
Suite a
Torrance, CA 90505

22930 Crenshaw Blvd
A1
Torrance, CA 90505-3048
Phone (310) 530-4261

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G066433CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1427098086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LOMITA BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055041",
            "telephone_number": "310-534-9131",
            "fax_number": "310-534-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD.",
            "address_2": "#A",
            "city": "TORRRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G066433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.