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KATHLEEN SHANNON EDMUNDS MD
NPI 1619055696
Emergency Medicine in Manhattan Beach, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
111 N SEPULVEDA BLVD, STE. 210, MANHATTAN BEACH, CA 90266(310) 379-2134 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619055696
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKATHLEEN SHANNON EDMUNDSCredential: MD
Location Address111 N SEPULVEDA BLVD, STE. 210Manhattan Beach, CA 90266-6861
Mailing Address2138 Malcolm AveLos Angeles, CA 90025-6306 · (310) 597-0736
Phone(310) 379-2134
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2002
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1619055696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NM · MD2005-0177✔ Licensed in CA · A101151
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 N SEPULVEDA BLVD, Manhattan Beach, CA 90266
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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

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.

PECOS PAC ID3173567252
PECOS Enrollment IDI20240729003626
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.

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, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381304
Location900 11th Street SEBandon, OR 97411 · Coos County
Emergency services

Physician 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.

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 11

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

DAVID SUNG KWON MD
Emergency Medicine
111 N SEPULVEDA BLVD, #210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
ANDREA W WU MD
Emergency Medicine
111 N SEPULVEDA BLVD, SUITE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
JULIAN B. STANLEY M.D.
Emergency Medicine
111 N SEPULVEDA BLVD, SUITE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
DR. ANH TRONG NGUYEN M.D.
Emergency Medicine
111 N SEPULVEDA BLVD, SUITE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
MR. DARREN WAI-YI LAM PA-C
Physician Assistant
111 N SEPULVEDA BLVD, SUITE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
DR. ELISABETH JANNICKY M.D.
Emergency Medicine
111 N SEPULVEDA BLVD, SUITE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
CINDY YUNG-FANG KUO DO
Emergency Medicine
111 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134
MS. CHRISTINE DUVA WARHAFT FNP-C
Nurse Practitioner (Family)
111 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-2134

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.

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.