Kenn Nicholas Ungab Talaid

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

41801 Issued in CA

Practice address

650 S Bascom Ave
San Jose, CA 95128-2601

Phone

(408) 261-7777

Fax

(408) 642-6052

NPI assigned

Jul 22, 2024

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1568290641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261457",
            "telephone_number": "209-594-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282601",
            "telephone_number": "408-261-7777",
            "fax_number": "408-642-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAID",
        "first_name": "KENN NICHOLAS",
        "middle_name": "UNGAB",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doug Takeuchi, DDS
• Matthew Takeuchi
• Gagan Takhar
• Manvir Takhar
• Nadia Takla
• Catherine Morales Talaro
• Shauna Talburt, PNP
• Majid Talebi, RPH
• Dakshata Talekar
• Talkawhile Child and Family Therapy Center PC

• Licensed Psychiatric Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.