Ken Bagnis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

10012 Norwalk Blvd
Suite 110
Santa Fe Springs, CA 90670-3343

Phone

(562) 906-1335

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ASC Treatment Group

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  • NPI 1003942970
  NPD
• ASC Riverside Ranch - River House

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1154536688
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750418653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 NORWALK BLVD",
            "address_2": "SUITE 110",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703343",
            "telephone_number": "562-906-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 NORWALK BLVD",
            "address_2": "SUITE 110",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703343",
            "telephone_number": "562-906-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNIS",
        "first_name": "KEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Avila Jr.
• Vickie Acelia Ventura Avila
• Elisha Bacon
• Dania Jamal Badawi
• Rebecca Baer
• Seungbum Bak
• Jolene-Fe Caguicla Balancio, LCSW
• Nicholas A Balderas, PT, DPT
• Chayla Banks
• Lorena Banuelos

• Marriage & Family Therapist in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.