KRISTOPHER J KERSCH (NPI# 1558700922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558700922 |
| Entity Type | Individual |
| Full Name | KRISTOPHER J KERSCH |
| Credential | M.D. |
| Practice Address |
1225 Wilshire Blvd Los Angeles CA 90017-1901 |
| Mailing Address |
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214 |
| Practice Telephone | 2139772412 |
| Practice Fax Number | 3106987054 |
| Mailing Telephone | 3102253244 |
| Mailing Fax Number | 3106987054 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
A109211 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A109211 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A109211 | 01 |
| Street Address |
1225 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325652 | David Huang | Radiology | 1225 Wilshire Blvd, Department of Radiation Oncology, Los Angeles, CA 90017-1901 | 2005-06-13 |
| 1699398503 | Daniel Noah Park | Physical Therapist | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2020-05-26 |
| 1104458017 | Simy Hei | Registered Nurse | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2020-02-08 |
| 1396307039 | Cathy M Kim | Nurse Practitioner | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2019-07-02 |
| 1851952030 | Kevin Huynh | Nurse Practitioner | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2019-06-27 |
| 1104487123 | Scott Joseph Byington | Nurse Practitioner | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2019-06-21 |
| 1609433440 | Suzette Monestime | Physical Medicine & Rehabilitation | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2019-05-28 |
| 1881259406 | Vanessa Alexa Perez | Nurse Practitioner | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2019-05-08 |
| 1285193664 | Alice Tuyet Anh Nguyen | Physician Assistant | 1225 Wilshire Blvd, Los Angeles, CA 90017 | 2019-03-15 |
| 1699230953 | Hanan Bashar Abdelfattah | Physician Assistant | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023512126 | Sofia Liou | Pathology | 924 Westwood Blvd Ste 705, Los Angeles, CA 90024-2959 | 2018-03-22 |
| 1134645732 | Jennifer Katzenberg | Pathology | 10833 Le Conte Ave # Chsas, Los Angeles, CA 90095-3075 | 2017-08-16 |
| 1144678426 | Jayjay Zabala Blanco | Pathology | 116 N Robertson Blvd Ste 500, Los Angeles, CA 90048-3100 | 2016-05-27 |
| 1962866855 | Sai Priyanka Gudiwada | Pathology | 10833 Le Conte Ave # A2-179, Los Angeles, CA 90095-1202 | 2016-04-07 |
| 1003229329 | Tiannan Wang | Pathology | 1500 San Pablo St Rm 216, Los Angeles, CA 90033-5313 | 2014-06-04 |
| 1356754840 | Ahmad Ibrahim | Pathology | 1450 San Pablo St Rm 2401, Los Angeles, CA 90033-5331 | 2014-06-03 |
| 1396015434 | Lily Jih | Pathology | 8700 Beverly Blvd., #8709, South Tower, Los Angeles, CA 90048 | 2012-01-06 |
| 1588993059 | Jennifer Lynne Clebanoff | Pathology | Ucla Pathology and Laboratory Medicine, Box 951732, A7-149 Chs, Los Angeles, CA 90095-1732 | 2009-12-13 |
| 1326277385 | Saloni Walia | Pathology | 2011 Zonal Ave # Hmr211, Los Angeles, CA 90089-1083 | 2009-07-10 |
| 1336377829 | Matthew Denicola | Pathology | 10833 Le Conte Ave Box 951732, Los Angeles, CA 90095-1732 | 2009-06-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.