Pavel Ksendz, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021622 Issued in CA

Practice address

21700 Golden Triangle Rd Ste 104a
Santa Clarita, CA 91350-2616

Phone

(310) 849-4541

NPI assigned

Sep 7, 2022

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oc Progressive Recovery Inc.Group PAC ID 7214207190, 21 clinicians

Brainpower Wellness Institute Nursing CorporationGroup PAC ID 3072840586, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anaheim Community Hospital, LLC Hospital, Anaheim, CA, CCN 050854

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Brainpower Wellness Institute Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
  • NPI 1528573615
  Medicare reassignment Care Compare group NPD
• Oc Progressive Recovery Inc

  • Psychiatry Physician
  • Orange, CA
  • NPI 1003340217
  Medicare reassignment Care Compare group NPD
• Amygdala Medical Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
  • NPI 1386324267
  Medicare reassignment NPD
• Blue Bird Hospice

  • Community Based Hospice Care Agency
  • Santa Clarita, CA
  • NPI 1891360772
  NPD Authorized official
• Brainiac Medical Corporation

  • Psychiatry Physician
  • Orange, CA
  • NPI 1699472183

  Psychiatric/Mental Health

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anaheim Community Hospital, LLC

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1902479447
  Care Compare affiliation

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1790406882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD STE 104A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "310-849-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD STE 104A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "310-849-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSENDZ",
        "first_name": "PAVEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofi Kostanyan
• Martin Krell, M.D.
• Kristina Silverman, Occupational Therapy, Apc
• Tracey Kruger, M.S., CCC-A
• Karina Krynsky, LCSW
• Jamie Lee Kucharski, DPT
• Paula Ann Kuhlman, M.D.
• Kum Corporation (total care pharmacy)
• Devinder S. Kumar, MD
• Siddharth Kunte, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.