Active NPI
Kristina Lou
- Medical Physician Assistant
- Sherman Oaks, CA
National Provider Identifier
1447707831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 53688
- Practice address
- 13701 Riverside Dr
Set 606
Sherman Oaks, CA 91423-2430 - Phone
- (310) 871-0670
- NPI assigned
- Sep 2, 2016
- Last updated
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 53688 | CA | Primary |
Addresses
Primary practice location
13701 Riverside Dr
Set 606
Sherman Oaks, CA 91423-2430
Mailing address
PO Box 32587
Los Angeles, CA 90032-0587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53688 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1447707831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32587",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900320587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 RIVERSIDE DR",
"address_2": "SET 606",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232430",
"telephone_number": "310-871-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOU",
"first_name": "KRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "53688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.