Active NPI
Ken Neil Dvoren, LMFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1568520922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8236
- Practice address
- 2812 Santa Monica Blvd
#205
Santa Monica, CA 90404-2476 - Phone
- (310) 392-2536
- Fax
- (443) 308-2536
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- 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 | 8236 | CA | Primary |
Addresses
Primary practice location
2812 Santa Monica Blvd
#205
Santa Monica, CA 90404-2476
Mailing address
1955 18TH St
#5
Santa Monica, CA 90404
Phone (310) 392-2536
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568520922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 18TH ST",
"address_2": "#5",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-392-2536",
"fax_number": "443-308-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 SANTA MONICA BLVD",
"address_2": "#205",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042476",
"telephone_number": "310-392-2536",
"fax_number": "443-308-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVOREN",
"first_name": "KEN",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "8236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Eric Durrschmidt, MA.,MFT
- Francisco Jose Dussan, PPSC
- Kelly Marie Dutka, LMFT, LPCC
- Isabella C Dutra, LPCC
- Dva Renal Healthcare Inc (Santa Monica Dialysis)
- Dvorsky Chiropractic Inc
- Jay William Dvorsky, D.C.
- Alan Dybner
- Dynamic Listening & Learning Centers Inc (Dynamic Learning and Listening Center)
- Paige McCall Dyrek, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.