Kenith K Paresa, MD a Professional Corp

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A66233 Issued in CA

Legal business name

KENITH K PARESA, MD A PROFESSIONAL CORP

Practice address

1964 Westwood Blvd Ste 435
Los Angeles, CA 90025

Phone

(310) 856-9488

NPI assigned

Feb 18, 2010

Last updated

Jul 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenith K Paresa, MDNPI 1013952159

Title

President

Phone

(310) 659-9566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenith K Paresa, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1013952159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1801118716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST # 530",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723628",
            "telephone_number": "310-874-8430",
            "fax_number": "714-917-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 WESTWOOD BLVD STE 435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-856-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6221 Wilshire Blvd",
            "address_2": "# 620",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485201",
            "country_code": "US",
            "telephone_number": "323-556-0090",
            "fax_number": "323-556-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENITH K PARESA, MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "PARESA",
        "authorized_official_first_name": "KENITH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-9566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A66233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Kendrick
• Nicole Kendrick
• Cheyenne Kendricks
• Jacqueline Sheila Keng, PA-C
• Karen Ashley Keniston
• Nadine Nguena Kennang, LVN, R.N.
• Kenneth Kennaugh, LCSW
• Gaila Maureen Kenneally, DO
• Lauren Kenneally
• Terri Kennedy-Johnson

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.