Joseph Kestenbaum, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14022 Issued in CA

Practice address

3730 E South Street
Lakewood, CA 90712-1419

Phone

(714) 899-4005

Fax

(714) 899-4275

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Amha Medical Group, Inc.

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1518030642
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1659362135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4166",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926054166",
            "telephone_number": "714-899-4005",
            "fax_number": "714-899-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 E SOUTH STREET",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "714-899-4005",
            "fax_number": "714-899-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTENBAUM",
        "first_name": "JOSEPH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Kenlow, IBCLC
• Kenny Young Kim DDS Inc
• Phyllis Antoinette Kenworthy, M.A.CCC/SLP
• Aaron R Kern, MD
• Sarah Kessler, CD(DONA)
• Cleveland Key
• Khai H. Tran, D.D.S., Inc. (Lakewood Perfect Smile, Dental Group of Khai H Tran DDS Inc.)
• Hibah Khan
• Haeyun Kim Lee
• Brandi Kim

• Psychologist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.