McKenzie Halle, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A165870 Issued in CA

Practice address

2051 Marengo St
Los Angeles, CA 90033-1352

Phone

(509) 630-9729

NPI assigned

May 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Tufts University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ojai Emergency Physicians CorporationGroup PAC ID 3577889351, 14 clinicians

South Coast Emergency Medical Group IncGroup PAC ID 1355254269, 33 clinicians

Burbank Emergency Medical Group IncGroup PAC ID 2961308036, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334
• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
• Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Burbank Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Burbank, CA
  • NPI 1689636730

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Ojai Emergency Physicians Corporation

  • Emergency Medicine Physician
  • Ojai, CA
  • NPI 1497152755

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• South Coast Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Barbara, CA
  • NPI 1861432627

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Providence Facey Medical Foundation

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588

  CA

  Medicare reassignment NPD
• Providence Facey Medical Foundation

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• Providence Facey Medical Foundation

  • Urgent Care Clinic/Center
  • Santa Clarita, CA
  • NPI 1922651561
  NPD

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

• Community Memorial Health System

  • Critical Access Hospital
  • Ojai, CA
  • NPI 1992876767

  Hospital

  Care Compare affiliation
• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136

  Hospital

  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269

  Hospital

  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152

  Hospital

  Care Compare affiliation
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1578052437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E SPRINGFIELD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "509-630-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLE",
        "first_name": "MCKENZIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A165870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Hall
• Hall;S Medical Transport Service
• Mia Berry Halladay
• Halle M. Aten, PH.D., a Psychological Corporation
• Ashley Dale Halle, OTD, OTR/L
• Kiyoko K. Hallenberg, LCSW
• Isabelle C Haller, DO
• Leonard C Haller, MD
• Zev Haller
• Zsofia Haller, SLP CCC

• All providers in Los Angeles, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.