Ken Bagnis
Individual provider Active NPI Marriage & Family Therapist · Santa Fe Springs, CA
NPI 1750418653 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750418653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 10012 Norwalk Blvd
Suite 110
Santa Fe Springs, CA 90670-3343 - Phone
- (562) 906-1335
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ASC Treatment Group | Current |
Accepting new patients | |
| ASC Riverside Ranch - River House | Past | Accepting new patients |
Locations
2457 Endicott St
Los Angeles, CA 90032
Phone (323) 227-5252
6130 Vineland Ave
North Hollywood, CA 91606
Phone (818) 766-8161
10012 Norwalk Blvd
Ste 110
Santa Fe Springs, CA 90670
Phone (562) 906-1335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
10012 Norwalk Blvd
Suite 110
Santa Fe Springs, CA 90670-3343
Mailing address
10012 Norwalk Blvd
Suite 110
Santa Fe Springs, CA 90670-3343
Phone (562) 906-1335
Other providers in Santa Fe Springs, CA
- Jorge Luis Avila Jr.
- Vickie Acelia Ventura Avila
- Elisha Bacon
- Dania Jamal Badawi
- Rebecca Baer
- Seungbum Bak
- Jolene-Fe Caguicla Balancio
- Nicholas A Balderas
- Lorena Banuelos
- Cynthia Barajas
All providers in Santa Fe Springs, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.