Individual provider Active NPI

Karen Eve Kleeman, M.D.

  • Psychosomatic Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1962690057
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
G44384 Issued in CA
Practice address
531 12TH St
Santa Monica, CA 90402-2907
Phone
(310) 394-4772
Fax
(310) 458-4112
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X G44384 CA Primary

Addresses

Primary practice location

531 12TH St
Santa Monica, CA 90402-2907

Mailing address

531 12TH St
Santa Monica, CA 90402-2907
Phone (310) 394-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 22, 2017 through Jun 22, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44384CAMDPsychosomatic Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1962690057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 12TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022907",
            "telephone_number": "310-394-4772",
            "fax_number": "310-458-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 12TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022907",
            "telephone_number": "310-394-4772",
            "fax_number": "310-458-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEMAN",
        "first_name": "KAREN",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "G44384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.