KATHLEEN FENERTY MD
NPI 1043779168
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 18, 2019PECOS Enrolled
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(800) 825-2631 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Fenerty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN FENERTY MD (NPI 1043779168) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043779168
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN FENERTYCredential: MD
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address757 Westwood PlzLos Angeles, CA 90095-8358 · (310) 267-7849
Sole ProprietorNo
Enumeration DateMarch 18, 2019
NPI 1043779168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

757 WESTWOOD PLZ, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Fenerty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Unit
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLZ, RM 14-19
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043779168, enumerated as an "individual" on March 18, 2019.

The provider is located at 757 WESTWOOD PLZ LOS ANGELES, CA 90095 and the phone number is (800) 825-2631.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.