Kenneth Leon Patton, BA, CADC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BII00080619 Issued in CA

Practice address

24953 Paseo de Valencia
Building B Suit 1B
Laguna Hills, CA 92653-3565

Phone

(949) 540-0170

Fax

(949) 540-0173

NPI assigned

Jan 18, 2013

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Twin Town Corporation

  dba Twin Town Treatment Centers, Orange

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orange, CA
  • NPI 1407282247
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1477891802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "BUILDING B SUIT 1B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533565",
            "telephone_number": "949-540-0170",
            "fax_number": "949-540-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "BUILDING B SUIT 1B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533565",
            "telephone_number": "949-540-0170",
            "fax_number": "949-540-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4388 Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203565",
            "country_code": "US",
            "telephone_number": "562-596-0050 x207",
            "fax_number": "562-596-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KENNETH",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "credential": "BA, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "BII00080619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirav Hiru Patel, D.P.T.
• Rajiv J Pathak, M.D.
• Patient's Choice Home Health, Inc.
• Patrick Prateep Chaipat
• Shada Marie Patterson, MA
• Kenneth Yurdin Pauker, M.D.
• Paul John Licata MD
• Alexandra Maude Paulsen, B.A.
• Kate Pavlak, MFT
• Payam C Ataii, DMD, Inc (Laser Dental Center)

• Addiction (Substance Use Disorder) Counselor in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.