| Kenisha Akeila Nisbett, DO | |
|
1513 S Grand Ave Ste 200, Los Angeles, CA 90015-3075 | |
| (323) 438-0483 | |
| (310) 862-6817 |
| Full Name | Kenisha Akeila Nisbett |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 1513 S Grand Ave Ste 200, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316471527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A17194 (California) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 17194 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | County Of Butte |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578623583 PECOS PAC ID: 3779489356 Enrollment ID: O20031212000445 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenisha Akeila Nisbett, DO 122 S Green St Ste 5, Tehachapi, CA 93561-1717 Ph: () - | Kenisha Akeila Nisbett, DO 1513 S Grand Ave Ste 200, Los Angeles, CA 90015-3075 Ph: (323) 438-0483 |
Dr. Bernice Boddie Jackson, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 241 N. Figueroa St., Los Angeles, CA 90012 Phone: 213-989-7168 | |
Dr. Emery Jakab, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 313 N Figueroa St, Los Angeles, CA 90012 Phone: 213-240-8117 | |
Mercy Kagoda, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-648-1229 | |
Susan Bradshaw, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6320 W Howard Drollinger Way Ste 203, Los Angeles, CA 90045 Phone: 310-665-0300 Fax: 310-665-0303 | |
Marc E Arnush, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9601 S Sepulveda Blvd, Los Angeles, CA 90045 Phone: 310-215-6020 | |
Dr. Douglas M Frye, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Commonwealth Ave Ste 1920, Los Angeles, CA 90005 Phone: 213-351-8196 | |
Dr. Keith Allen Emmons, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 865 Comstock Ave, Unit 3b, Los Angeles, CA 90024 Phone: 818-512-5575 Fax: 310-275-0832 |