Individual provider Active NPI

Kavan Nakai

  • Professional Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1386581890
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APCC22564 Issued in CA
Practice address
9327 Fairway View PL Ste 110
Rancho Cucamonga, CA 91730-0969
Phone
(909) 945-3330
NPI assigned
May 1, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC22564 CA Primary

Addresses

Primary practice location

9327 Fairway View PL Ste 110
Rancho Cucamonga, CA 91730-0969

Mailing address

6342 Tribeca CT
Rancho Cucamonga, CA 91739-2277
Phone (909) 243-4154

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
APCC22564CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interim Psychiatric Care, Medical Corporation PastSince Aug 3, 2005 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.

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1386581890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 TRIBECA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392277",
            "telephone_number": "909-243-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 FAIRWAY VIEW PL STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300969",
            "telephone_number": "909-945-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAI",
        "first_name": "KAVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC22564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

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

Verify at the official NPI Registry.