Individual provider Active NPI

Alexis Jae Kerl, MD

  • Family Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1629655105
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
194727 Issued in CA
Practice address
2950 Sycamore Dr Ste 300
Simi Valley, CA 93065-1210
Phone
(805) 955-7060
Fax
(586) 777-2189
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 194727 CA Primary

Addresses

Primary practice location

2950 Sycamore Dr Ste 300
Simi Valley, CA 93065-1210

Mailing address

2950 Sycamore Dr Ste 300
Simi Valley, CA 93065-1210
Phone (805) 955-7060

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619002178 CA Practitioner - Family Practice 7416359849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oakland Univ, William Beaumont School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304

2950 Sycamore Dr
Simi Valley, CA 93065-1210

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Simi Valley, CA, CCN 057537
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194727CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2024 Accepting new patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients

Locations

2950 Sycamore Dr
Ste 200
Simi Valley, CA 93065
Phone (661) 705-9706

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

2950 Sycamore Dr
Ste 300
Simi Valley, CA 93065
Phone (805) 526-0226

2755 Alamo St
Ste 201
Simi Valley, CA 93065
Phone (805) 210-7280

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1629655105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SYCAMORE DR STE 300",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651210",
            "telephone_number": "805-955-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SYCAMORE DR STE 300",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651210",
            "telephone_number": "805-955-7060",
            "fax_number": "586-777-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERL",
        "first_name": "ALEXIS",
        "middle_name": "JAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "194727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.