Individual provider Active NPI

Nelson Katindo, MD

  • Psychiatry Physician
  • Santa Clarita, CA
National Provider Identifier
1013440205
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A167453 Issued in CA
Practice address
27125 Sierra Hwy Ste 325P
Santa Clarita, CA 91351-5432
Phone
(661) 360-7222
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 52-0595110 MD
Psychiatry Physician 2084P0800X A167453 CA Primary

Addresses

Primary practice location

27125 Sierra Hwy Ste 325P
Santa Clarita, CA 91351-5432

Mailing address

21318 Bottletree LN Unit 202
Santa Clarita, CA 91321-4499
Phone (661) 360-7222

Other practice location 1

8727 Van Nuys Blvd
Panorama City, CA 91402-2451
Phone (818) 438-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001355 CA Practitioner - Psychiatry 5698043016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27125 Sierra Hwy
Suite 325P
Santa Clarita, CA 91351-5432
Phone (661) 360-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52-0595110MDMDGastroenterology Physician
A167453CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Katindo Mental Health Clinic Inc. Psychiatry CurrentSince Oct 26, 2022 Accepting new patients

Locations

27125 Sierra Hwy
Ste 325P
Santa Clarita, CA 91351
Phone (661) 360-7222

Interoperability endpoints

  • Direct secure messaging: nelson.katindo.1@31069.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1013440205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21318 BOTTLETREE LN UNIT 202",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913214499",
            "telephone_number": "661-360-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 325P",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515432",
            "telephone_number": "661-360-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8727 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914022451",
            "country_code": "US",
            "telephone_number": "818-438-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATINDO",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "52-0595110",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A167453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.