Individual provider Active NPI

Ken Keiji Yabuki, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1962531061
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 12443 Issued in CA
Practice address
340 N. Madison Ave
Los Angeles, CA 90004-3504
Phone
(323) 644-2026
Fax
(323) 644-2039
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 12443 CA Primary

Addresses

Primary practice location

340 N. Madison Ave
Los Angeles, CA 90004-3504

Mailing address

11971 Peach Tree Rd
Yucaipa, CA 92399-2759
Phone (909) 446-7178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505002716 CA Practitioner - Marriage and Family Therapist 6002333945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 12443CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Hospital & Mental Health Center CurrentSince Feb 24, 2025 Accepting new patients
Gateways Hospital & Mental Health Center CurrentSince Feb 24, 2025 Accepting new patients
Gateways Hospital & Mental Health Center PastSince May 9, 2021 Accepting new patients

Locations

1891 Effie St
Los Angeles, CA 90026

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962531061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 PEACH TREE RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992759",
            "telephone_number": "909-446-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N. MADISON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043504",
            "telephone_number": "323-644-2026",
            "fax_number": "323-644-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABUKI",
        "first_name": "KEN",
        "middle_name": "KEIJI",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 12443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.