Individual provider Active NPI

Smita Yogendra Katbamna, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1366967572
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
22977 Issued in CA
Practice address
3625 Del Amo Blvd Ste 120
Torrance, CA 90503-1668
Phone
(310) 802-7352
Fax
(310) 802-7357
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22977 CA Primary

Addresses

Primary practice location

3625 Del Amo Blvd Ste 120
Torrance, CA 90503-1668

Mailing address

3625 Del Amo Blvd Ste 120
Torrance, CA 90503-1668
Phone (310) 802-7352

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

LicenseStateTypeSpecialty
22977CAMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366967572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 DEL AMO BLVD STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031668",
            "telephone_number": "310-802-7352",
            "fax_number": "310-802-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 DEL AMO BLVD STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031668",
            "telephone_number": "310-802-7352",
            "fax_number": "310-802-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATBAMNA",
        "first_name": "SMITA",
        "middle_name": "YOGENDRA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "22977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.