Individual provider Active NPI

Ke Xu, MSC.

  • Rehabilitation Counselor
  • Los Angeles, CA
National Provider Identifier
1790265577
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
9353 Valley Blvd C Rosemend,Asian Pacific Family Center
Los Angeles, CA 91770
Phone
(626) 287-2988
Fax
(626) 577-2305
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Primary

Addresses

Primary practice location

9353 Valley Blvd C Rosemend,Asian Pacific Family Center
Los Angeles, CA 91770

Mailing address

6268 N San Gabriel Blvd.
Apt 17
Los Angeles, CA 91775
Phone (626) 210-7496

Other identifiers 1

IdentifierTypeStateIssuer
XEK906417606OtherCABLUE SHIELD

Other names 1

  • Mrs. Keren Xu Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1790265577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 N SAN GABRIEL BLVD.",
            "address_2": "APT 17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "91775",
            "telephone_number": "626-210-7496",
            "fax_number": "626-577-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 VALLEY BLVD C ROSEMEND,ASIAN PACIFIC FAMILY CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-287-2988",
            "fax_number": "626-577-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "KE",
        "name_prefix": "Mrs.",
        "credential": "MSC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "XEK906417606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEREN",
            "last_name": "XU",
            "prefix": "MRS.",
            "credential": "MSC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.