Individual provider Active NPI

Nishi Khodaria

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1811809791
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
141258 Issued in CA
Practice address
2509 Pico Blvd
Santa Monica, CA 90405-1828
Phone
(310) 664-7571
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 141258 CA Primary

Addresses

Primary practice location

2509 Pico Blvd
Santa Monica, CA 90405-1828

Mailing address

2509 Pico Blvd
Santa Monica, CA 90405-1828
Phone (310) 664-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1811809791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051828",
            "telephone_number": "310-664-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051828",
            "telephone_number": "310-664-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODARIA",
        "first_name": "NISHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "141258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.