Organization Active NPI

New Fresh Start LLC

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1053283531
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEW FRESH START LLC
Practice address
11270 Exposition Blvd Unit 64224
Los Angeles, CA 90064-9998
Phone
(323) 431-9747
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Dr. Kameron Beckett, PSYDNPI 1861168197
Title
Psychologist
Phone
(909) 642-5540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

11270 Exposition Blvd Unit 64224
Los Angeles, CA 90064-9998

Mailing address

11270 Exposition Blvd Unit 64224
Los Angeles, CA 90064-5904
Phone (323) 431-9747

National Provider Directory

National Provider Directory

Locations

11270 Exposition Blvd
Unit 64224
Los Angeles, CA 90064
Phone (323) 431-9747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1053283531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 EXPOSITION BLVD UNIT 64224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645904",
            "telephone_number": "323-431-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 EXPOSITION BLVD UNIT 64224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900649998",
            "telephone_number": "323-431-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FRESH START LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-642-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.