Kemia S Carlyle, D.O.,M.P.H.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2OA8517 Issued in CA

Practice address

5974 West Blvd
Los Angeles, CA 90043-3029

Phone

(323) 294-3449

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891806097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5974 WEST BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900433029",
            "telephone_number": "323-294-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 WEST BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900433029",
            "telephone_number": "323-294-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLYLE",
        "first_name": "KEMIA",
        "middle_name": "S",
        "credential": "D.O.,M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "2OA8517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean L Carlston, DDS
• Fredrick A Carlston, NP
• Julaine Carlstrom, MFT
• Carol A Carlton
• Robert Maurice Carlton, M.D.
• Lisa J Carmack
• Maria Nicole Carmack, PA-C
• Shiran Carmel
• Jesse Myles Carmen-Hay
• Veronica Carmenate

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.