Active NPI
Ivanna Lynn Kenwood, DPM
- Podiatrist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5799
- Practice address
- 2001 Santa Monica Blvd Ste 1060
Santa Monica, CA 90404-2130 - Phone
- (310) 582-1940
- NPI assigned
- Jul 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | EL6932 | CA | |
| Podiatrist | 213E00000X | 5799 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 1060
Santa Monica, CA 90404-2130
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999
757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.42 of 100
- Quality
- 68.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 54 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 545 |
| Removal or shaving of skin growth | 315 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5799 | CA | MD | Physical Therapy Assistant |
| EL6932 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Podiatrist | Current | Accepting new patients |
| UCLA Medical Group | Past | Accepting new patients |
Locations
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
100 Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-6481
100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999
2001 Santa Monica Blvd
Ste 1060
Santa Monica, CA 90404
Phone (310) 582-1940
Organizations & group practices 4
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.
-
- Podiatrist
- Los Angeles, CA
- NPI 1750723540
-
- Durable Medical Equipment & Medical Supplies
- Valencia, CA
- NPI 1285507103
-
- Orthopaedic Surgery Physician
- Van Nuys, CA
- NPI 1336615988
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1699329052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 1060",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042130",
"telephone_number": "310-582-1940"
}
],
"practiceLocations": [
{
"address_1": "1720 E Cesar E Chavez Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900332414",
"country_code": "US",
"telephone_number": "323-268-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENWOOD",
"first_name": "IVANNA",
"middle_name": "LYNN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "EL6932",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "5799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.