Kirsten Elizabeth Mewaldt, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A103717 Issued in CA

Practice address

4650 Lincoln Blvd
Unit #1604
Marina del Rey, CA 90292-6306

Phone

(626) 354-4874

Fax

(650) 723-0121

NPI assigned

Mar 9, 2007

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

Other identifiers 1

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

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgeline Emergency Physicians Medical Group, Inc.Group PAC ID 0345521613, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

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.

• Ridgeline Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1972953230
  Medicare reassignment Care Compare group NPD
• Golden State Emergency Physicians Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1770886558
  Medicare reassignment NPD
• Mission Viejo Emergency Medical Associates

  • Emergency Medicine Physician
  • Mission Viejo, CA
  • NPI 1073542916
  Medicare reassignment NPD
• Mission Viejo Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Laguna Beach, CA
  • NPI 1134355597
  Medicare reassignment NPD
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1801202692
  NPD (past)
• Phalarope Inpatient Services, a Medical Corporation

  • Internal Medicine Physician
  • Marina del Rey, CA
  • NPI 1831504760
  NPD (past)

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

• Cedars-Sinai Marina Hospital

  • General Acute Care Hospital
  • Marina del Rey, CA
  • NPI 1942269725
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1659403228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926306",
            "telephone_number": "310-448-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 LINCOLN BLVD",
            "address_2": "UNIT #1604",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926306",
            "telephone_number": "626-354-4874",
            "fax_number": "650-723-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWALDT",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A103717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "0A1037170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rojeh Melikian, M.D.
• Barbara Mescher, MFT, ATR, BC
• Chloe Meshel - Wood
• Debra J Mesisca, PT
• Amy Messer, LAC
• Michael a Stone MD a Professional Corporation
• Michael Billauer D.C., a Professional Chiropractic Corporation
• Shlomit Michaely, PH. D. L. AC.
• Michelle Z Wang MD PC
• Harvey Walter Miller, M.D.

• Emergency Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.