Active NPI
Kerri Keslow, M.D.
- Family Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A100592
- Practice address
- 4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424 - Phone
- (310) 827-3700
- Fax
- (310) 578-5379
- NPI assigned
- Aug 17, 2007
- Last updated
- Oct 10, 2024
- 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 | A100592 | CA | Primary |
Addresses
Primary practice location
4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138
Other practice location 1
11980 San Vicente Blvd Ste 102
Los Angeles, CA 90049-5012
Phone (310) 208-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427240977 | Medicaid | CA |
Other names 1
- Kerri Frank
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
- Family Practice
- Education
- University of Nevada School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10250 Santa Monica Blvd
Suite 2440
Los Angeles, CA 90067-6469
Phone (310) 286-0122
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Family Medicine | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
| County of Ventura | Past | Accepting new patients | |
| Regents of the University of California | Family Medicine | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
11980 San Vicente Blvd
Ste 102
Los Angeles, CA 90049
Phone (310) 208-7777
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBCHDD/Endpoint/EBCHDD
- kkeslow37864@direct.uclahealth.org
Organizations & group practices 7
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.
-
dba UCLA Dept of Medicine
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Family Medicine
-
dba UCLA Dept of Medicine
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
-
dba UCLA Entertainment Ind MedGrp
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
Family Medicine
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
dba Santa Monica UCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1427240977",
"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": "310-301-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 ADMIRALTY WAY STE 100",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925424",
"telephone_number": "310-827-3700",
"fax_number": "310-578-5379"
}
],
"practiceLocations": [
{
"address_1": "11980 San Vicente Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900495012",
"country_code": "US",
"telephone_number": "310-208-7777",
"fax_number": "310-445-8709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESLOW",
"first_name": "KERRI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A100592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427240977",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "FRANK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.