Active NPI
Ryan Paul Kulea Talbert
- Clinical Child & Adolescent Psychologist
- Los Angeles, CA
National Provider Identifier
1306130596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 6404 1/2 Roble Ave Apt 10
Los Angeles, CA 90042-3584 - Phone
- (269) 369-4496
- NPI assigned
- Jun 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
6404 1/2 Roble Ave Apt 10
Los Angeles, CA 90042-3584
Mailing address
6404 1/2 Roble Ave Apt 10
Los Angeles, CA 90042-3584
Phone (269) 369-4496
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307232000000",
"number": "1306130596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 1/2 ROBLE AVE APT 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900423584",
"telephone_number": "269-369-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 1/2 ROBLE AVE APT 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900423584",
"telephone_number": "269-369-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBERT",
"first_name": "RYAN",
"middle_name": "PAUL KULEA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-05",
"last_updated": "2011-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.