Active NPI
Kenneth Mark Karotkin
- Psychologist
- Los Angeles, CA
National Provider Identifier
1962582288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 44469415
- Practice address
- 900 Rome Dr
Los Angeles, CA 90065-3226 - Phone
- (323) 226-0322
- Fax
- (323) 227-4800
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 44469415 | CA | Primary |
Addresses
Primary practice location
900 Rome Dr
Los Angeles, CA 90065-3226
Mailing address
900 Rome Dr
Los Angeles, CA 90065-3226
Phone (323) 226-0322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44469415 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1962582288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ROME DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900653226",
"telephone_number": "323-226-0322",
"fax_number": "323-227-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROME DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900653226",
"telephone_number": "323-226-0322",
"fax_number": "323-227-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAROTKIN",
"first_name": "KENNETH",
"middle_name": "MARK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "44469415",
"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 Dec 20, 2010; 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.