Active NPI
Karla Yanina Rodas
- Psychologist
- Huntington Beach, CA
National Provider Identifier
1659982429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 16152 Beach Blvd Ste 170
Huntington Beach, CA 92647-3818 - Phone
- (213) 290-5483
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Marriage & Family Therapist | 106H00000X | 119696 | CA |
Addresses
Primary practice location
16152 Beach Blvd Ste 170
Huntington Beach, CA 92647-3818
Mailing address
PO Box 3533
El Segundo, CA 90245-8593
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 |
|---|---|---|---|
| 119696 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1659982429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3533",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902458593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16152 BEACH BLVD STE 170",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473818",
"telephone_number": "213-290-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAS",
"first_name": "KARLA",
"middle_name": "YANINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.