Active NPI
Kent Ian Caballero Robin
- Psychiatric/Mental Health Nurse Practitioner
- Woodland Hills, CA
National Provider Identifier
1295582435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95028402
- Practice address
- 21550 Oxnard St FL 3
Woodland Hills, CA 91367-7105 - Phone
- (747) 288-3543
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95028402 | CA | Primary |
Addresses
Primary practice location
21550 Oxnard St FL 3
Woodland Hills, CA 91367-7105
Mailing address
20656 Wyandotte St
Winnetka, CA 91306-2749
Phone (323) 519-8717
Other practice location 1
15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231
Phone (818) 528-4220
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 |
|---|---|---|---|
| 95028402 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BBTD Psychiatry PC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Woodland Hills, CA
- NPI 1659141299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1295582435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20656 WYANDOTTE ST",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913062749",
"telephone_number": "323-519-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21550 OXNARD ST FL 3",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677105",
"telephone_number": "747-288-3543"
}
],
"practiceLocations": [
{
"address_1": "15233 Ventura Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914032231",
"country_code": "US",
"telephone_number": "818-528-4220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBIN",
"first_name": "KENT IAN",
"middle_name": "CABALLERO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95028402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.