Individual provider Active NPI

Anne Michelle Kahana, NP-C

  • Family Nurse Practitioner
  • Rancho Palos Verdes, CA
National Provider Identifier
1467028373
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017407 Issued in CA
Practice address
27518 Littlewood Dr
Rancho Palos Verdes, CA 90275-3932
Phone
(323) 620-6517
NPI assigned
Jun 1, 2021
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017407 CA Primary

Addresses

Primary practice location

27518 Littlewood Dr
Rancho Palos Verdes, CA 90275-3932

Mailing address

27518 Littlewood Dr
Rancho Palos Verdes, CA 90275-3932
Phone (323) 620-6517

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614001266 CA Practitioner - Nurse Practitioner 3779962212 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care 360 Advanced Solutions IncGroup PAC ID 2769912906, 12 clinicians

Practice addresses (Care Compare)

Ontario, CA 91764
Phone (760) 286-7826

25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Refael Medical, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Feb 25, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Apr 26, 2022 Accepting new patients
IHS Medical Group PC CurrentSince Dec 20, 2022 Accepting new patients
Temima Healthcare CurrentSince Aug 10, 2024 Accepting new patients
Center for Digestive Health & Nutritional Excellence, Inc CurrentSince Jun 6, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 3, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Apr 26, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 3, 2022 Accepting new patients
Briyot Healthcare PC CurrentSince Jul 25, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Hessed Healthcare PC CurrentSince Nov 3, 2024 Accepting new patients
Wound Care 360 Advanced Solutions Inc CurrentSince Jan 26, 2026 Accepting new patients

Locations

26891 Aliso Creek Rd
Aliso Viejo, CA 92656
Phone (949) 301-7366

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

8200 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 879-7167

8200 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (562) 309-1300

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 461-4411

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

10850 Wilshire Blvd
Ste 1130
Los Angeles, CA 90024
Phone (310) 209-0425

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

2980 Inland Empire Blvd
Unit 102
Ontario, CA 91764
Phone (760) 286-7826

2980 Inland Empire Blvd
Unit 201
Ontario, CA 91764

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone 9513033164 ext. 8221

2791 Agoura Rd
Westlake Village, CA 91361
Phone (800) 523-4042

5164 E 81st Ave
Merrillville, IN 46410
Phone (708) 782-7809

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1467028373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27518 LITTLEWOOD DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753932",
            "telephone_number": "323-620-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27518 LITTLEWOOD DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753932",
            "telephone_number": "323-620-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHANA",
        "first_name": "ANNE",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-11-21",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.