Individual provider Active NPI

Kristen Nelson, M.D.

  • Psychiatry Physician
  • North Hills, CA
National Provider Identifier
1740624105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A148060 Issued in CA
Practice address
16111 Plummer St BLDG 10
North Hills, CA 91343-2036
Phone
(818) 895-9349
NPI assigned
Apr 29, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X A148060 CA Primary

Addresses

Primary practice location

16111 Plummer St BLDG 10
North Hills, CA 91343-2036

Mailing address

16111 Plummer St BLDG 10
North Hills, CA 91343-2036
Phone (818) 895-9349

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
I20180117001464 CA Practitioner - Psychiatry 6204136765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113

1910 Magnolia Ave
Suite 101
Los Angeles, CA 90007-1220
Phone (213) 749-0947

326 W 23Rd St
Los Angeles, CA 90007-2612
Phone (323) 541-1600

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148060CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Oct 1, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 4, 2017 Accepting new patients
St. Johns Community Health CurrentSince Oct 1, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Feb 4, 2026 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 4, 2017 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

1111 E Artesia Blvd
Compton, CA 90221
Phone (310) 900-1600

15301 S San Jose Ave
Compton, CA 90221
Phone (310) 537-2273

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

15715 S Atlantic Ave
Fl 2
East Rancho Dominguez, CA 90221
Phone (310) 604-5000

500 La Terraza Blvd
Ste 150
Escondido, CA 92025
Phone (760) 232-6788

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

82025 US Highway 111
Unit 101
Indio, CA 92201
Phone 32354116002332

1060 Exposition Blvd
Los Angeles, CA 90007
Phone 32354116002332

1321 E 1st St
Los Angeles, CA 90033

1555 W 110th St
Los Angeles, CA 90047
Phone (323) 757-2771

1741 E 120th St
Los Angeles, CA 90059
Phone (424) 758-9002

1910 Magnolia Ave
Ste 101
Los Angeles, CA 90007

2512 Alta St
Los Angeles, CA 90031
Phone (323) 441-2139

326 W 23rd St
Los Angeles, CA 90007
Phone (323) 366-1100

4085 S Vermont Ave
Los Angeles, CA 90037
Phone (323) 541-1631

4251 Crenshaw Blvd
Los Angeles, CA 90008
Phone (323) 295-5577

444 S Mathews St
Los Angeles, CA 90033
Phone (323) 541-1400

5701 S Hoover St
Los Angeles, CA 90037
Phone (323) 541-1400

6505 8th Ave
Los Angeles, CA 90043
Phone (323) 750-9232

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

770 1st Ave
Ste 250
San Diego, CA 92101
Phone (619) 292-8304

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740624105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST BLDG 10",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-895-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST BLDG 10",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-895-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A148060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.