Katayon Pandkhou, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122565 Issued in CA

Practice address

11949 Jefferson Blvd Ste 102&106
Culver City, CA 90230-6336

Phone

(949) 525-3775

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1043053713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PASTO RICO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882921",
            "telephone_number": "949-525-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 JEFFERSON BLVD STE 102&106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306336",
            "telephone_number": "949-525-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDKHOU",
        "first_name": "KATAYON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Cruz Palisoc
• Wendy Janeth Palma Herrera
• Aileen Palma
• Melanie Cruz Palma
• David Palmer
• Jennritz Pantino
• Jessica Papps, BCBA
• Rudy B. Parada, CPO
• Ana Elizabeth Pardo
• Jessica L Parel, RN-BSN, CSN, PHN

• Clinical Social Worker in Culver City, CA
• Providers in Culver City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.