Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kirsten Elizabeth Mewaldt, MD

Individual provider Emergency Medicine Physician · NPI 1659403228

Dr. Kirsten Elizabeth Mewaldt, MD is an Emergency Medicine in Marina del Rey, California. Qualified in 2006, 20 years ago. Practices with Ridgeline Emergency Physicians Medical Group, Inc, a 35-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4650 Lincoln Blvd Unit #1604
Marina del Rey, CA 90292-6306
Phone: (626) 354-4874
Fax: (650) 723-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A103717 (CA)

Record details

NPI number1659403228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESOctober 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ridgeline Emergency Physicians Medical Group, Inc. — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marina del Rey