Active NPI
Kent B Tablada, ED.D.; LMFT
- Marriage & Family Therapist
- Malibu, CA
National Provider Identifier
1629109236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT48722
- Practice address
- 427 Encinal Canyon Rd
Malibu, CA 90265-2404 - Phone
- (818) 735-2870
- NPI assigned
- Mar 7, 2007
- 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 | LMFT48722 | CA | Primary |
Addresses
Primary practice location
427 Encinal Canyon Rd
Malibu, CA 90265-2404
Mailing address
13015 Lull St
North Hollywood, CA 91605-1925
Phone (818) 764-7860
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT48722 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1629109236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13015 LULL ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916051925",
"telephone_number": "818-764-7860",
"fax_number": "818-764-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 ENCINAL CANYON RD",
"city": "MALIBU",
"state": "CA",
"postal_code": "902652404",
"telephone_number": "818-735-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABLADA",
"first_name": "KENT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "ED.D.; LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT48722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.