Karli N Koval, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

61197 Issued in CA

Practice address

4968 Booth Cir Ste 101
Irvine, CA 92604-3366

Phone

(949) 753-7475

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

No

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 NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment
• Felice L. Gersh, M.D., Inc.

  dba Integrative Medical Group of Irvine

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1821121328
  NPD (past)

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1598356909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DUXBURY ST",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIR STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043366",
            "telephone_number": "949-753-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "KARLI",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "61197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mila Tsankova Koseva
• Mohit Kosuru
• Ellen Ruth Kotkin, LCSW
• Chase Kotowitz
• Kathryn Kovach, M.A. CCC-SLP
• Patricia Kovars, M.F.T.
• KPB Anesthesia Medical Group Inc.
• Amber Elisa Kramer, LMFT
• Tricia Elizabeth Krantz
• Julia Krausman

• Medical Physician Assistant in Irvine, CA
• Providers in Irvine, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.