Individual provider Active NPI

Kathryn Shameklis Zepeda, FNP

  • Family Nurse Practitioner
  • Playa Vista, CA
National Provider Identifier
1942541834
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21927 Issued in CA
Practice address
12746 W Jefferson Blvd Ste 2000
Playa Vista, CA 90094-2776
Phone
(424) 315-2220
Fax
(424) 315-2221
NPI assigned
Mar 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21927 CA Primary

Addresses

Primary practice location

12746 W Jefferson Blvd Ste 2000
Playa Vista, CA 90094-2776

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 423-3333

Other practice location 1

200 N Robertson Blvd
303
Beverly Hills, CA 90211-1769
Phone (310) 385-3466

Other names 1

  • Katy Leigh Shameklis Other 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
I20130424000961 CA Practitioner - Nurse Practitioner 9830335587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

200 N Robertson Blvd
Suite 202
Beverly Hills, CA 90211-6002
Phone (310) 423-3078

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21927CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 2, 2013 Accepting new patients

Locations

200 N Robertson Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300

200 N Robertson Blvd
Ste 303
Beverly Hills, CA 90211
Phone (310) 385-3450

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

12746 W Jefferson Blvd
Ste 2000
Playa Vista, CA 90094
Phone (424) 315-2220

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: kshameklis134169@direct.cshs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1942541834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "310-423-3333",
            "fax_number": "310-423-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12746 W JEFFERSON BLVD STE 2000",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942776",
            "telephone_number": "424-315-2220",
            "fax_number": "424-315-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Robertson Blvd",
            "address_2": "303",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111769",
            "country_code": "US",
            "telephone_number": "310-385-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "KATHRYN",
        "middle_name": "SHAMEKLIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "SHAMEKLIS",
            "middle_name": "LEIGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Playa Vista, CA

Sources for this page

Verify at the official NPI Registry.