Active NPI
Julian Tellez Knighton Jr.
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1821671009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200 - Phone
- (323) 291-7100
- NPI assigned
- May 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Behavior Analyst | 103K00000X | |||
| Assistant Behavior Analyst | 106E00000X |
Addresses
Primary practice location
4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Mailing address
3870 Crenshaw Blvd Ste 212
Los Angeles, CA 90008-1815
Phone (323) 290-5058
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": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1821671009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 CRENSHAW BLVD STE 212",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081815",
"telephone_number": "323-290-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CRENSHAW BLVD STE 215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431200",
"telephone_number": "323-291-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTON",
"first_name": "JULIAN",
"middle_name": "TELLEZ",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-04",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.