Sara Keilani Fenn

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA54311 Issued in CA

Practice address

1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072

Phone

(310) 319-3475

NPI assigned

Feb 2, 2017

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Tufts University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.91 of 100Reported as group

Quality

68.73

Promoting interoperability

100

Improvement activities

40

Cost

63.4

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schung1162711@direct.uclahealth.org

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.

• Brentview Medical Inc.

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1447581350
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Brentview Medical Inc.

  • Urgent Care Clinic/Center
  • West Hollywood, CA
  • NPI 1326631177
  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Pomona, CA
  • NPI 1740235258
  NPD
• Skinpeccable Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1194058578
  NPD
• The Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1447027677
  NPD
• BVM Therapy Inc.

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1912368358
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1902344682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012072",
            "telephone_number": "310-319-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "SARA",
        "middle_name": "KEILANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Feldman, M.A.M.F.T.
• Jamie Lynn Feldstein, LMFT
• Elliot D Felman, MD
• Joan Karen Feltman, M.D.
• Yue Jin Feng, O.M.D.
• Lauren Qieu Fennell
• Frederick Isaac Ferguson, MD
• Yulsi Lili Fernandez Montero
• Corinna Ferrandino, MD
• Janice Patricia Ferris, PH.D.

• Physician Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.