Active NPI
Kristina Arjoon Harilal
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1841065984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3881 S Western Ave
Los Angeles, CA 90062-1105 - Phone
- (323) 290-4357
- NPI assigned
- Nov 20, 2023
- Reactivated
- Jul 19, 2024
- Last updated
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | CA |
Addresses
Primary practice location
3881 S Western Ave
Los Angeles, CA 90062-1105
Mailing address
6666 Green Valley Cir
Culver City, CA 90230-7068
Other practice location 1
425 S Broadway
Los Angeles, CA 90013-1102
Phone (213) 213-0100
Other names 1
- Krishna Arjoon Harilal
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emotional Health Association Share | Past | Accepting new patients | |
| Emotional Health Association Share | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SHARE The Self - Help And Recovery Exchange
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1265719843
-
dba SHARE The Self- Help And Recovery Exchange
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1295967693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1841065984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6666 GREEN VALLEY CIR",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902307068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3881 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621105",
"telephone_number": "323-290-4357"
}
],
"practiceLocations": [
{
"address_1": "425 S Broadway",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900131102",
"country_code": "US",
"telephone_number": "213-213-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARJOON HARILAL",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"deactivation_date": "2024-07-05",
"reactivation_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISHNA",
"last_name": "ARJOON HARILAL",
"code": "2",
"type": "Professional 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 Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.