Individual provider Active NPI

Amy Sargious Kehl, MD

  • Rheumatology Physician
  • Santa Monica, CA
National Provider Identifier
1679879555
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A119310 Issued in CA
Practice address
2336 Santa Monica Blvd Ste 207
Santa Monica, CA 90404-2067
Phone
(310) 449-1999
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A119310 CA Primary

Addresses

Primary practice location

2336 Santa Monica Blvd Ste 207
Santa Monica, CA 90404-2067

Mailing address

PO Box 18736
Beverly Hills, CA 90209-4736

Other practice location 1

8750 Wilshire Blvd Ste 210
Beverly Hills, CA 90211-2703
Phone (310) 582-6350

Other identifiers 1

IdentifierTypeStateIssuer
A119310OtherCAMEDICAL LICENSE

Other names 1

  • Amy Sargious Former name

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
I20150825006041 CA Practitioner - RheumatologyPractitioner - Internal Medicine 2567778251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2021 Santa Monica Blvd
Suite 421E
Santa Monica, CA 90404-2144
Phone (310) 453-9001

Hospital & facility affiliations

  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119310CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wallace & Lee Infusion Center - a Medical Corporation Rheumatology CurrentSince Apr 17, 2022 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Dec 12, 2022 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Dec 12, 2022 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 210
Beverly Hills, CA 90211
Phone (310) 652-0920

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2021 Santa Monica Blvd
Ste 421E
Santa Monica, CA 90404
Phone (310) 453-4599

2336 Santa Monica Blvd
Ste 207
Santa Monica, CA 90404
Phone (310) 449-1999

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akehl43023@icare.elcaminohospital.org
  • Direct secure messaging: akehl558577@oc.providencedirect.org

Organizations & group practices 6

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1679879555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18736",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902094736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD STE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042067",
            "telephone_number": "310-449-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8750 Wilshire Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112703",
            "country_code": "US",
            "telephone_number": "310-582-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHL",
        "first_name": "AMY",
        "middle_name": "SARGIOUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A119310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A119310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SARGIOUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.