Active NPI
Kalisha Beard
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1700212016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77950
- Practice address
- 1720 E 120TH St
Los Angeles, CA 90059-3052 - Phone
- (562) 257-6199
- NPI assigned
- Sep 18, 2013
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | 77950 | CA | |
| Clinical Social Worker | 1041C0700X | 77950 | CA | Primary |
Addresses
Primary practice location
1720 E 120TH St
Los Angeles, CA 90059-3052
Mailing address
1720 E 120TH St
Los Angeles, CA 90059-3052
Phone (562) 257-6199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77950 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1700212016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "562-257-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "562-257-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "KALISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": "77950",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77950",
"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 May 7, 2025; 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.