KIM CARNAZZOLA (M.D.) – Family Medicine Physician, NPI 1629093083
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for KIM CARNAZZOLA (M.D.)
3958 OLEANDER CT APT B
CALABASAS, CA 913022928
Phone: (847) 337-1492
Type: Mailing
26585 Agoura Rd Ste 330
Calabasas, CA 913021958
Phone: (818) 876-1050
Fax: (818) 592-2320
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
Wingstop, 22950, Vanowen Street, West Hills, Los Angeles, Los Angeles County, California, 91307, United States
WEST HILLS, CA 913072500
Phone: (818) 887-2782
Type: Location
23815 STUART RANCH RD STE 301
MALIBU, CA 902654861
Phone: (310) 317-0034
Fax: (310) 317-0035
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-10-20 • Largest payer in this snapshot: Cranial Technologies, Inc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cranial Technologies, Inc | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200603001052 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 180 | 154 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 131 | $0 |
| 81002 | Urinalysis, manual test | 54 | 43 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 29 | 27 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 20 | 20 | $0 |
Insurance plans in this area (ZIP 91302)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine, Family Practice | CA | |
| Medical Oncology, Hematology/Oncology | CA | |
| Hospitalist, Internal Medicine | MA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| Hospitalist, Internal Medicine | CA |
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