Individual provider Active NPI

Kendra Lee Perkins, D.O.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
National Provider Identifier
1609295096
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A16198 Issued in CA
Practice address
11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056
Phone
(714) 513-1399
Fax
(714) 513-1393
NPI assigned
Apr 14, 2014
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A16198 CA Primary

Addresses

Primary practice location

11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056

Mailing address

11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056
Phone (714) 513-1399

Other practice location 1

1127 Wilshire Blvd Ste 1400
Los Angeles, CA 90017-4005
Phone (714) 513-1399

Other names 1

  • Kendra Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16198CAMDObstetrics & Gynecology Physician
16198CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Fertility Centers LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1609295096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 411",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084056",
            "telephone_number": "714-513-1399",
            "fax_number": "714-513-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 411",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084056",
            "telephone_number": "714-513-1399",
            "fax_number": "714-513-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Wilshire Blvd Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174005",
            "country_code": "US",
            "telephone_number": "714-513-1399",
            "fax_number": "714-513-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KENDRA",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-04-22",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A16198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "BAKER",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.