Active NPI
Kamirah Carter
- Rehabilitation Practitioner
- Torrance, CA
National Provider Identifier
1154108835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 23824 Hawthorne Blvd Ste 200
Torrance, CA 90505-5935 - Phone
- (310) 791-3064
- NPI assigned
- Sep 14, 2023
- Last updated
- Oct 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RT1432160226 | CA | |
| Rehabilitation Practitioner | 225400000X | CA | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
23824 Hawthorne Blvd Ste 200
Torrance, CA 90505-5935
Mailing address
23824 Hawthorne Blvd Ste 200
Torrance, CA 90505-5935
Phone (310) 791-3064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT1432160226 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Crest | Current | Accepting new patients | |
| The Teen Project, Inc. | Past | Accepting new patients |
Locations
23115 Rider St
Perris, CA 92570
Phone 9516868500 ext. 4019
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Perris, CA
- NPI 1285288316
-
dba Vera's Sanctuary
- Children's Substance Abuse Rehabilitation Facility
- Trabuco Canyon, CA
- NPI 1609345743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1154108835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23824 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055935",
"telephone_number": "310-791-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23824 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055935",
"telephone_number": "310-791-3064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KAMIRAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RT1432160226",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.