DR. KENDRA FLEAGLE GORLITSKY MD
NPI 1902992134
Family Medicine in Los Angeles, CA
About Dr. Kendra Fleagle Gorlitsky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENDRA FLEAGLE GORLITSKY MD (NPI 1902992134) is an individual family medicine provider in Los Angeles, California, licensed in California (G61804) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Southern California Keck School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kendra Fleagle Gorlitsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kendra Gorlitsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90007
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 clinicians in this Medicare group
Sun Valley, CA 91352
- Reassigned Medicare billing, California enrollment
- 218 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90057 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90057
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 Kendra Gorlitsky's NPI number?
The NPI number for Kendra Gorlitsky is 1902992134. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Kendra Gorlitsky located?
Kendra Gorlitsky practices at 123 S Alvarado Street, Los Angeles, CA 90057. The listed phone number is (213) 989-7700.
What is Kendra Gorlitsky's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kendra Gorlitsky enrolled in Medicare?
Yes. Kendra Gorlitsky is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kendra Gorlitsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Gorlitsky reassigns Medicare benefits to 2 organizations: St. Johns Community Health (Los Angeles, CA) and Northeast Valley Health Corporation (Sun Valley, CA). 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 Kendra Gorlitsky'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 Kendra Gorlitsky was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Kendra Fleagle Gorlitsky, MD · NPI 1902992134
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1902992134 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G61804 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 123 S ALVARADO STREET, Los Angeles, CA 90057-2201
- **Phone:** (213) 989-7700 · **Fax:** (213) 989-7702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Johns Community Health (NPI 1073653630, Los Angeles, CA); Northeast Valley Health Corporation (NPI 1013199264, Sun Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** April 23, 2025
- **Other identifiers:** Other WG61804B
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Source: [NPI Profile](https://npiprofile.com/npi/1902992134) · Data from the CMS NPPES public registry.