KATHLEEN SHANNON EDMUNDS MD
NPI 1619055696
Emergency Medicine in Manhattan Beach, CA
About Kathleen Shannon Edmunds Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN SHANNON EDMUNDS MD (NPI 1619055696) is an individual emergency medicine provider in Manhattan Beach, California, licensed in New Mexico (MD2005-0177) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Southern Coos Hospital & Health Center, and is a graduate of University Of New Mexico School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Shannon Edmunds Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kathleen Edmunds reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 200 clinicians in this Medicare group
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- 180 clinicians in this Medicare group
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 155 clinicians in this Medicare group
Yreka, CA 96097
- Reassigned Medicare billing, California enrollment
- 140 clinicians in this Medicare group
Bandon, OR 97411
- Reassigned Medicare billing, Oregon enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Coos Hospital & Health Center
Critical Access Hospitals · Bandon, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANHATTAN BEACH, CA 90266
MANHATTAN BEACH, CA 90266
MANHATTAN BEACH, CA 90266
MANHATTAN BEACH, CA 90266
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 Edmunds's NPI number?
The NPI number for Kathleen Edmunds is 1619055696. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Kathleen Edmunds located?
Kathleen Edmunds practices at 111 N Sepulveda Blvd Ste. 210, Manhattan Beach, CA 90266. The listed phone number is (310) 379-2134.
What is Kathleen Edmunds's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kathleen Edmunds enrolled in Medicare?
Yes. Kathleen Edmunds 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.
Which organizations bill Medicare for Kathleen Edmunds's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Edmunds reassigns Medicare benefits to 5 organizations: Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp (Bakersfield, CA), American Specialty Physicians Group Inc (Modesto, CA), San Francisco Emergency Medical Associates (San Francisco, CA), Siskiyou Hospital, Inc. (Yreka, CA) and Southern Coos Health District (Bandon, OR). Each 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 Kathleen Edmunds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Edmunds affiliated with any hospitals?
According to CMS data, Kathleen Edmunds is affiliated with Southern Coos Hospital & Health Center.
When was this NPI record last updated?
The NPPES record for Kathleen Edmunds was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Kathleen Shannon Edmunds, MD · NPI 1619055696
Emergency Medicine physician in Manhattan Beach, California. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1619055696 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD2005-0177 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 N SEPULVEDA BLVD, STE. 210, Manhattan Beach, CA 90266-6861
- **Phone:** (310) 379-2134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp (NPI 1386980415, Bakersfield, CA); American Specialty Physicians Group Inc (NPI 1164363024, Modesto, CA); San Francisco Emergency Medical Associates (NPI 1134110661, San Francisco, CA); Siskiyou Hospital, Inc. (NPI 1093892275, Yreka, CA); Southern Coos Health District (NPI 1588684484, Bandon, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** February 5, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1619055696) · Data from the CMS NPPES public registry.