Individual provider Active NPI

Donn Kenji Tamaki

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1245465459
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3125 N Broadway
Los Angeles, CA 90031-2703
Phone
(323) 222-4591
Fax
(323) 222-4614
NPI assigned
May 18, 2009
Last updated
May 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3125 N Broadway
Los Angeles, CA 90031-2703

Mailing address

3125 N Broadway
Los Angeles, CA 90031-2703
Phone (323) 222-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250310003091 NV Practitioner - Clinical Social Worker 7416478144 Reassigns benefits to 1 organization
I20251017003991 CA Practitioner - Clinical Social Worker 7416478144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

402 W Broadway
Suite 400
San Diego, CA 92101-3554

560 W Main St
C195
Alhambra, CA 91801-3374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61479CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rethink Therapy, LLC Mental Health CurrentSince Mar 3, 2025 Accepting new patients
Self Care Counseling Marriage Family and Child Therapy Inc. Mental Health CurrentSince Oct 31, 2025 Accepting new patients
Cyti Health PC CurrentSince Aug 4, 2025 Accepting new patients

Locations

1910 W Sunset Blvd
Ste 400
Los Angeles, CA 90026
Phone (213) 347-4356

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

2520 Saint Rose Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 496-6562

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1245465459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312703",
            "telephone_number": "323-222-4591",
            "fax_number": "323-222-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312703",
            "telephone_number": "323-222-4591",
            "fax_number": "323-222-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAKI",
        "first_name": "DONN",
        "middle_name": "KENJI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.