Individual provider Active NPI

Kerry Ann Farrell, PA-C

  • Physician Assistant
  • Encino, CA
National Provider Identifier
1891022448
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17381 Issued in CA
Practice address
16500 Ventura Blvd
Ste. 409
Encino, CA 91436-2011
Phone
(818) 905-5277
Fax
(818) 783-5406
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17381 CA Primary

Addresses

Primary practice location

16500 Ventura Blvd
Ste. 409
Encino, CA 91436-2011

Mailing address

16500 Ventura Blvd
Ste. 409
Encino, CA 91436-2011
Phone (818) 905-5277

Other practice location 1

7230 Medical Center Dr Ste 404
West Hills, CA 91307-4016
Phone (818) 592-6005

Other names 1

  • Kerry Ann Schlosser Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000805 CA Practitioner - Physician Assistant 9032106893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hills Dermatology Group a Medical CorporationGroup PAC ID 6507768801, 3 clinicians

Practice addresses (Care Compare)

7230 Medical Ctr Dr
Suite 404
West Hills, CA 91307-4016
Phone (818) 592-6005

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as group
Quality
93.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001020CTMDChiropractor
PA17381CAMDPhysician Assistant
17381CAMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Debra B Luftman MD Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1891022448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "STE. 409",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-905-5277",
            "fax_number": "818-783-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "STE. 409",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-905-5277",
            "fax_number": "818-783-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Medical Center Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913074016",
            "country_code": "US",
            "telephone_number": "818-592-6005",
            "fax_number": "818-592-6088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "SCHLOSSER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.