KLC Consultants, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A84321 Issued in CA

Legal business name

KLC CONSULTANTS, PC

Practice address

30101 Agoura CT Ste 100
Agoura Hills, CA 91301-4301

Phone

(818) 879-9018

Fax

(818) 879-9013

NPI assigned

Apr 17, 2018

Last updated

Dec 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Colin P Dias, MDNPI 1811029168

Title

Owner/Ceo

Phone

(818) 934-3745

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colin Porus Dias, M.D.

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1811029168
  Medicare reassignment NPD Authorized official
• Emily Downing-Mahli, NP

  • Gerontology Nurse Practitioner
  • West Hollywood, CA
  • NPI 1386193225
  Medicare reassignment NPD
• Jason P Lee, MD

  • Psychiatry Physician
  • Sylmar, CA
  • NPI 1487188629
  Medicare reassignment NPD
• Erica Metu, N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1861938623
  Medicare reassignment NPD
• Hagop Jack Mkroyan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, CA
  • NPI 1104479179
  Medicare reassignment NPD
• Angel O Nwochie, NP

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1821341777
  Medicare reassignment NPD

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1053808899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 100",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "818-934-3745",
            "fax_number": "818-879-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 100",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "818-879-9018",
            "fax_number": "818-879-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9449 San Fernando Rd",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "913521421",
            "country_code": "US",
            "telephone_number": "818-767-3310",
            "fax_number": "877-677-4914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053010",
            "country_code": "US",
            "telephone_number": "818-934-3745",
            "fax_number": "877-677-4914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 Verdugo Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081407",
            "country_code": "US",
            "telephone_number": "626-617-5521",
            "fax_number": "877-677-4914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLC CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-934-3745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A84321",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84321",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A84321",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A84321",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A84321",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A84321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirinjan Khalsa
• Anahita Kia, JD, MA, LMFT
• Negeen Kiarashi, LAC
• Collette Lee King, FNP
• Kingfisher Counseling Inc
• Kim Kmetz, MFT
• Jacklyn Kokuashvili
• Carla E Korn, LMFT
• Rachel Olivia Kove
• Anna Francesca Kowalski, MA, MFT

• Psychiatry Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.