Active NPI
Ishita Kanungo
- Social Worker
- Santa Monica, CA
National Provider Identifier
1336847680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2509 Pico Blvd
Santa Monica, CA 90405-1828 - Phone
- (310) 392-8636
- NPI assigned
- Feb 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2509 Pico Blvd
Santa Monica, CA 90405-1828
Mailing address
995 Figueroa Ter Apt 104
Los Angeles, CA 90012-5919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
604 Rose Ave
Venice, CA 90291-2767
6321 Orange St
Apt 1
Los Angeles, CA 90048-4864
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1336847680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 FIGUEROA TER APT 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900125919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 PICO BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051828",
"telephone_number": "310-392-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANUNGO",
"first_name": "ISHITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.