Individual provider Active NPI

Doris Khalili Kanani, LCSW

  • Clinical Social Worker
  • North Hollywood, CA
National Provider Identifier
1376756429
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93048 Issued in CA
Practice address
12821 Victory Blvd
North Hollywood, CA 91606-3012
Phone
(818) 432-5025
Fax
(818) 432-0872
NPI assigned
May 7, 2007
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 93048 CA Primary

Addresses

Primary practice location

12821 Victory Blvd
North Hollywood, CA 91606-3012

Mailing address

12821 Victory Blvd
North Hollywood, CA 91606-3012
Phone (818) 432-5025

Other practice location 1

330 N Fairfax Ave
Los Angeles, CA 90036-2109
Phone (323) 868-9077

Other practice location 2

8838 W Pico Blvd
Los Angeles, CA 90035-3302
Phone (323) 868-9077

Other identifiers 1

IdentifierTypeStateIssuer
ASW17733OtherCASOCIAL WORK INTERN REG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200723000989 CA Practitioner - Clinical Social Worker 8820412802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Los AngelesGroup PAC ID 8224020805, 11 clinicians

Practice addresses (Care Compare)

12821 Victory Blvd
North Hollywood, CA 91606-3012
Phone (818) 984-1380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Los Angeles CurrentSince Apr 18, 2020 Accepting new patients

Locations

330 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 937-5900

3580 Wilshire Blvd
Ste 700
Los Angeles, CA 90010
Phone (213) 260-7900

8838 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 247-0534

12821 Victory Blvd
North Hollywood, CA 91606
Phone (818) 432-5025

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, 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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1376756429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063012",
            "telephone_number": "818-432-5025",
            "fax_number": "818-432-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063012",
            "telephone_number": "818-432-5025",
            "fax_number": "818-432-0872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Fairfax Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900362109",
            "country_code": "US",
            "telephone_number": "323-868-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8838 W Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900353302",
            "country_code": "US",
            "telephone_number": "323-868-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANANI",
        "first_name": "DORIS",
        "middle_name": "KHALILI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK INTERN REG",
            "identifier": "ASW17733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.