Active NPI
Cindy Khaki
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1477972339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 9636
- Practice address
- 9001 S Vermont Ave
Los Angeles, CA 90044-4835 - Phone
- (323) 756-9933
- Fax
- (323) 756-9515
- NPI assigned
- Apr 8, 2014
- Last updated
- Apr 8, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9636 | CA | Primary |
Addresses
Primary practice location
9001 S Vermont Ave
Los Angeles, CA 90044-4835
Mailing address
9001 S Vermont Ave
Los Angeles, CA 90044-4835
Phone (323) 756-9933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6962 | Other | CA | DRUG MEDI-CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9636 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1477972339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900444835",
"telephone_number": "323-756-9933",
"fax_number": "323-756-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900444835",
"telephone_number": "323-756-9933",
"fax_number": "323-756-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAKI",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "9636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDI-CAL",
"identifier": "6962",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.