Marc M Kerner M D Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G69740 Issued in CA

Legal business name

MARC M KERNER M D APC

Practice address

18350 Roscoe Blvd
Suite 318
Northridge, CA 91325-4109

Phone

(818) 349-0600

Fax

(818) 993-0937

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marc Kerner, M.D.NPI 1275565608

Title

President

Phone

(818) 349-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc M Kerner, MD

  • Specialist
  • Northridge, CA
  • NPI 1275565608
  Medicare reassignment NPD Authorized official
• Ryan Michelle Jordan, PA

  • Physician Assistant
  • Sherman Oaks, CA
  • NPI 1942481742
  Medicare reassignment
• Valerie Ann Van Dellen, PA-C

  • Physician Assistant
  • Northridge, CA
  • NPI 1548977697
  Medicare reassignment

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1972857464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 318",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109",
            "telephone_number": "818-349-0600",
            "fax_number": "818-993-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 318",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109",
            "telephone_number": "818-349-0600",
            "fax_number": "818-993-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC M KERNER M D APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-349-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G69740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritz Geneve Salteras Manlugon
• Braxton E Mann II
• Houri Annette Manoukian, D.C.
• Andrew Rubio Manriquez
• Danielle Mar, PHARMD
• Damion Marcum
• Michael Marderosian
• Estelle Joy Marfori
• Karen Marhoffer, MSN, APRN, FNP
• Maria Sharon B Belen DDS Inc

• Specialist in Northridge, CA
• Providers in Northridge, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.