Active NPI
Kendra Lee Perkins, D.O.
- Obstetrics & Gynecology Physician
- Fountain Valley, CA
National Provider Identifier
1609295096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A16198
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16198 | CA | MD | Obstetrics & Gynecology Physician |
| 16198 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Reproductive Endocrinology Physician
- Fountain Valley, CA
- NPI 1285204834
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
- Zusana Perez
- Perfect Alliance Home Health, Inc.
- Perfect Touch Healthcare Services
- Perinatal DX Medical GRP Or Orange County
- Kathryn Caldwell Perkins Tift, M.D.
- William G. Perkins, M.D.
- Danielle Victoria Pershin
- Mahmood Peshimam, M.D.
- Peter Anderson MD Medical Corporation (Emergency Physicians Fountain Valley Medical Group)
- Peter E. Hagen, DDS, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.