Individual provider Active NPI

Kristyl Felix, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1962061382
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56862 Issued in CA
Practice address
2098 S Central Ave
Los Angeles, CA 90011-1235
Phone
(323) 233-3100
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 PA56862 CA Primary

Addresses

Primary practice location

2098 S Central Ave
Los Angeles, CA 90011-1235

Mailing address

2801 S San Pedro St
Los Angeles, CA 90011-2023
Phone (323) 233-3100

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
I20200504001928 CA Practitioner - Physician Assistant 0648601807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA56862CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Community Health Center CurrentSince Jun 24, 2025 Accepting new patients

Locations

1919 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

2098 S Central Ave
Los Angeles, CA 90011
Phone (323) 233-3100

2801 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

1005 E Washington Blvd
Ste A
Los Angeles, CA 90021
Phone (213) 745-3636

1005 E Washington Blvd
Los Angeles, CA 90021
Phone (213) 745-3636

4527 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 233-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1962061382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112023",
            "telephone_number": "323-233-3100",
            "fax_number": "323-233-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111235",
            "telephone_number": "323-233-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "KRISTYL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.