KSK Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KSK NURSING CORPORATION

Practice address

1875 W Redondo Beach Blvd Ste 308
Gardena, CA 90247-3644

Phone

(310) 387-2054

NPI assigned

May 8, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khadeer Khan, DNP, MSN, FNP, PMHNPNPI 1588964456

Title

Director

Phone

(310) 387-2054

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khadeer Khan, MSN, DNP, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
  • NPI 1588964456
  Authorized official Same address or phone

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1497503130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 PHELAN LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785309",
            "telephone_number": "310-387-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD STE 308",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473644",
            "telephone_number": "310-387-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSK NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHADEER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-387-2054",
        "authorized_official_credential": "DNP, MSN, FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C. Kornet, OTR
• Rebecca Kornu
• Jaclyn Krewinkel
• Kris Medical Inc
• Amber Kroll
• Monika Kulikowski
• Takashi Kumamoto, DDS
• Kush Medical Group
• Jonathan Ohyun Kwon, PHARM D.
• Nhan Ky

• Psychiatric/Mental Health Nurse Practitioner in Gardena, CA
• Providers in Gardena, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.