Individual provider Active NPI

Karen E Koe, MD

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1780648709
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G60896 Issued in CA
Practice address
10861 Cherry St Ste 308
Los Alamitos, CA 90720-5403
Phone
(562) 595-1961
Fax
(562) 595-5351
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G60896 CA Primary

Addresses

Primary practice location

10861 Cherry St Ste 308
Los Alamitos, CA 90720-5403

Mailing address

10861 Cherry St Ste 308
Los Alamitos, CA 90720-5403
Phone (562) 595-1961

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
I20101110000383 CA Practitioner - Obstetrics/Gynecology 9931394434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

10861 Cherry St
Suite 105
Los Alamitos, CA 90720-5403
Phone (562) 595-1961

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jocelyn Bennett Craig, MD, Corporation CurrentSince Feb 1, 2010 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners a Medical Group CurrentSince Feb 1, 2025 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

17822 Beach Blvd
Ste 373
Huntington Beach, CA 92647
Phone (714) 848-3333

3650 South St
Ste 210
Lakewood, CA 90712
Phone (562) 630-0910

2840 Long Beach Blvd
Ste 230
Long Beach, CA 90806
Phone (562) 426-4904

10861 Cherry St
Ste 105
Los Alamitos, CA 90720
Phone (562) 594-8320

10861 Cherry St
Ste 308
Los Alamitos, CA 90720
Phone (562) 595-1961

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

10861 Cherry St
Ste 104
Los Alamitos, CA 90720
Phone (562) 431-8771

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Interoperability endpoints

  • Direct secure messaging: kkoemd16136@direct.memorialcare.org

Organizations & group practices 5

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 5

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1780648709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 308",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-595-1961",
            "fax_number": "562-595-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 308",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-595-1961",
            "fax_number": "562-595-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOE",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G60896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.