Patille Kebabjian

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2136 Cutler St
Simi Valley, CA 93065-4923

Phone

(805) 522-4891

NPI assigned

Apr 10, 2025

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Guiding Our Youth

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Simi Valley, CA
  • NPI 1497336432
  NPD
• For the Future, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Simi Valley, CA
  • NPI 1720628548
  NPD (past)

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1154116234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 CASARIN AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654515",
            "telephone_number": "805-522-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 CUTLER ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654923",
            "telephone_number": "805-522-4891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 Alta St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632452",
            "country_code": "US",
            "telephone_number": "805-791-3725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4955 Alta St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632452",
            "country_code": "US",
            "telephone_number": "805-791-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEBABJIAN",
        "first_name": "PATILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Brooke Katz, PHARM D
• Anita Kaul, M.D.
• Maureen T Kaye, MFT
• Mark David Kayne, M.D.
• Mujtaba Syad Kazem
• Katrina Keiser, OTR/L
• Meir N. Keller, D.D.S.
• Hannah Kelley
• Gianna Kellogg
• Charles Derensbough Kennedy, MD

• Student in an Organized Health Care Education/Training Program in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.