Active NPI
Christine Kiyomi Kamatani, L.C.S.W.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1609154566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 23557
- Practice address
- 1453 W. Temple Street
Los Angeles, CA 90026 - Phone
- (213) 202-3970
- NPI assigned
- Jul 26, 2011
- Last updated
- Nov 4, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 23557 | CA | Primary |
Addresses
Primary practice location
1453 W. Temple Street
Los Angeles, CA 90026
Mailing address
1453 W Temple St
Los Angeles, CA 90026
Phone (213) 202-3970
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 23557 | CA | MD | Clinical Social Worker |
| 23557 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1609154566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-202-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 W. TEMPLE STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-202-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMATANI",
"first_name": "CHRISTINE",
"middle_name": "KIYOMI",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2022-11-04",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 23557",
"primary": true
}
],
"identifiers": [],
"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 Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.