Kenneth S Kleinman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G50719 Issued in CA

Practice address

5525 Etiwanda Ave Ste 312
Tarzana, CA 91356-6126

Phone

(818) 300-0081

Fax

(818) 300-0081

NPI assigned

Jul 5, 2006

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Male

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 3

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

Internal MedicineAlso: Nephrology

Education

University of Southern California Keck School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita South Valley Dialysis Dialysis facility, Encino, CA, CCN 052744
• Stat Home Health, Inc Home health agency, Northridge, CA, CCN 559524
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth Kleinman M.D., Inc.

  • Specialist
  • Tarzana, CA
  • NPI 1922185768
  Medicare reassignment NPD Authorized official
• South Valley Regional Dialysis Center Inc

  dba South Valley Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Encino, CA
  • NPI 1073517967
  NPD (past)
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)

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

• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Stat Home Health, Inc

  • Home Health Agency
  • Northridge, CA
  • NPI 1871132902
  Care Compare affiliation
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1689605941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 312",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566126",
            "telephone_number": "818-300-0081",
            "fax_number": "818-300-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 312",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566126",
            "telephone_number": "818-300-0081",
            "fax_number": "818-300-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G50719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "95-4372419",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G507190",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Kirk, PSY.D.
• KL Hospice
• Irving Klasky, M.D.
• Jamie L Klein, RADT
• Annette E Kleinman, M.D.
• Wayne M. Kleinman, M.D.
• KMB Residential Care, Inc. (Spectrum Behavioral Care)
• Janette Knox, M.A., M.F.T.
• Sadierose Koch
• Nelson E Koe, M.D.

• Specialist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.
• 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.