1. Home
  2. Directory
  3. California
  4. Gardena
  5. Nurse Practitioner
  6. NPI Profile

KELSEY BREIG
NPI 1578076055
Nurse Practitioner - Family in Gardena, CA

Active since November 07, 2017PECOS Enrolled
742 W GARDENA BLVD, GARDENA, CA 90247(310) 327-1357 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Nov 7, 2017 (2 updates tracked since 2017).

About Kelsey Breig NPPES

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

KELSEY BREIG (NPI 1578076055) is an individual family provider in Gardena, California, licensed in California (95007304) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578076055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY BREIG
Location Address742 W GARDENA BLVDGardena, CA 90247-5024
Mailing AddressPo Box 4571Palos Verdes Peninsula, CA 90274-9608
Phone(310) 327-1357
Sole ProprietorNo
Enumeration DateNovember 7, 2017
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1578076055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95007304
742 W GARDENA BLVD, Gardena, CA 90247
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Breig 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Breig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Venice Family Clinic
11 mi
Federally Qualified Health Center (FQHC)
4700 INGLEWOOD BLVD, #102
Culver City, CA 90230
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1003842360 (310) 392-8636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 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 12

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

GOURI PILLAI MD
Pediatrics
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 802-6177
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 802-6177
MS. GAIL GABOUREL MSPA-C
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 327-1357
KATELYN HOPE ANDERSON KLEIN
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 392-8636
DR. KARISA THAYER M.D.
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 327-1357
LORNA OCAMPO-TATEL NP
Nurse Practitioner
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 392-8636
JUDITH PIETERSZ NP
Nurse Practitioner
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 802-6177
WILFREDO RIOS
Nurse Practitioner (Family)
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 392-8636

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 Kelsey Breig's NPI number?

The NPI number for Kelsey Breig is 1578076055. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Kelsey Breig located?

Kelsey Breig practices at 742 W Gardena Blvd, Gardena, CA 90247. The listed phone number is (310) 327-1357.

What is Kelsey Breig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsey Breig enrolled in Medicare?

Yes. Kelsey Breig is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Breig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Breig reassigns Medicare benefits to Venice Family Clinic (Culver City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Breig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Breig was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.