MS. KATHLEEN MARY BREDA NP
NPI 1164886958
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
444 S SAN VICENTE BLVD STE 603, LOS ANGELES, CA 90048(310) 423-4566 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen Mary Breda Np NPPES

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

MS. KATHLEEN MARY BREDA NP (NPI 1164886958) is an individual acute care provider in Los Angeles, California, licensed in California (95007943) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164886958
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. KATHLEEN MARY BREDACredential: NP
Location Address444 S SAN VICENTE BLVD STE 603Los Angeles, CA 90048-4178
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-4566
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2016
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1164886958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95007943
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License RN2268188 (MA)
444 S SAN VICENTE BLVD STE 603, Los Angeles, CA 90048

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 724-0578

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathleen Mary Breda Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628361367
PECOS Enrollment IDI20251203002549
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Orthopaedic Surgery
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Orthopaedic Surgery
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Orthopaedic Surgery
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Breda's NPI number?

The NPI number for Kathleen Breda is 1164886958. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Kathleen Breda located?

Kathleen Breda practices at 444 S San Vicente Blvd Ste 603, Los Angeles, CA 90048. The listed phone number is (310) 423-4566.

What is Kathleen Breda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kathleen Breda enrolled in Medicare?

Yes. Kathleen Breda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Breda was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.