Active NPI
Ken Keiji Yabuki, MFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1962531061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 12443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 12443 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateways Hospital & Mental Health Center | Current | Accepting new patients | |
| Gateways Hospital & Mental Health Center | Current | Accepting new patients | |
| Gateways Hospital & Mental Health Center | Past | 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.
-
dba Gateway Hospital & Community MH Center
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1720151137
-
dba Gateways Community MHC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1497884613
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1700334992
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.