NPIMap

Individual provider Active NPI

Kenneth Murray Holt, MD

  • Gastroenterology Physician
  • Torrance, CA
National Provider Identifier
1932198108
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G49530 Issued in CA
Practice address
23451 Madison St Ste 290
Torrance, CA 90505-4737
Phone
(310) 375-1246
Fax
(310) 375-0590
NPI assigned
Oct 19, 2005
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G49530 CA Primary

Addresses

Primary practice location

23451 Madison St Ste 290
Torrance, CA 90505-4737

Mailing address

23451 Madison St Ste 290
Torrance, CA 90505-4737
Phone (310) 375-1246

Other identifiers 2

IdentifierTypeStateIssuer
10954650OtherCAQH
I4023572OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000966 CA Practitioner - Gastroenterology 6305834045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Care ConsultantsGroup PAC ID 6608867304, 15 clinicians

Practice addresses (Care Compare)

23451 Madison St
Suite 290
Torrance, CA 90505-4737
Phone (310) 375-1246

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49530CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care Consultants Gastroenterology CurrentSince Jun 1, 1982 Accepting new patients
El Segundo Endoscopy Center LLC PastSince Dec 15, 2019 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

23441 Madison St
Ste 230
Torrance, CA 90505
Phone (310) 375-1246

23441 Madison St
Ste 290
Torrance, CA 90505
Phone (310) 375-7172

23451 Madison St
Ste 290
Torrance, CA 90505
Phone (310) 375-1246

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1932198108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054737",
            "telephone_number": "310-375-1246",
            "fax_number": "310-375-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054737",
            "telephone_number": "310-375-1246",
            "fax_number": "310-375-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KENNETH",
        "middle_name": "MURRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G49530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10954650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "I4023572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.