Active NPI
Katyayani Tejada
- Marriage & Family Therapist
- Marina del Rey, CA
National Provider Identifier
1558105486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 164632
- Practice address
- 578 Washington Blvd # 5015
Marina del Rey, CA 90292-5421 - Phone
- (310) 734-8276
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 164632 | CA | Primary |
Addresses
Primary practice location
578 Washington Blvd # 5015
Marina del Rey, CA 90292-5421
Mailing address
578 Washington Blvd # 5015
Marina del Rey, CA 90292-5421
Other names 1
- Kathy Tejada
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medens Health | Marriage & Family Therapist | Current | Accepting new patients |
Locations
9713 Santa Monica Blvd
Ste 201
Beverly Hills, CA 90210
Phone (310) 564-5400
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": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1558105486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 WASHINGTON BLVD # 5015",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 WASHINGTON BLVD # 5015",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925421",
"telephone_number": "310-734-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJADA",
"first_name": "KATYAYANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "164632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "TEJADA",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.