Individual provider Active NPI

Michael Kanell, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1124472212
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A153023 Issued in CA
Practice address
760 Westwood PLZ Ste 37-384
Los Angeles, CA 90024-5055
Phone
(310) 825-1289
NPI assigned
Apr 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X A153023 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychiatry Physician 2084P0800X A153023 CA Primary

Addresses

Primary practice location

760 Westwood PLZ Ste 37-384
Los Angeles, CA 90024-5055

Mailing address

760 Westwood PLZ Ste 37-384
Los Angeles, CA 90024-5055

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
I20180823002086 CA Practitioner - Psychiatry 0042569071 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153023CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kanell & Zhu, M.D., Inc. Forensic Psychiatry Current Accepting new patients
County of Los Angeles CurrentSince Jul 24, 2018 Accepting new patients
Jewish Family Service of Los Angeles CurrentSince Apr 22, 2020 Accepting new patients
County of Los Angeles CurrentSince Jul 24, 2018 Accepting new patients
Amae Health Medical Associates, PC CurrentSince Mar 13, 2025 Accepting new patients
Amae Health Services LLC Past Accepting new patients

Locations

167 S San Antonio Rd
Ste 2
Los Altos, CA 94022
Phone (310) 601-5099

11620 Wilshire Blvd
Ste 520
Los Angeles, CA 90025
Phone (310) 601-5099

1762 Westwood Blvd
Ste 310
Los Angeles, CA 90024
Phone (213) 399-4163

330 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 937-5900

12821 Victory Blvd
North Hollywood, CA 91606
Phone (818) 432-5025

3061 Fillmore St
San Francisco, CA 94123
Phone (415) 292-3440

1900 Ofarrell St
Ste 250
San Mateo, CA 94403
Phone (310) 601-5099

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 6

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1124472212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ STE 37-384",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ STE 37-384",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245055",
            "telephone_number": "310-825-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANELL",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A153023",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A153023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.