Active NPI
Cara Stephanie Kenda, NURSE LVN
- Methadone Clinic
- Los Angeles, CA
National Provider Identifier
1972196152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 0002704429-0001-6
- Practice address
- 5235 W Sunset Blvd
Los Angeles, CA 90027-5709 - Phone
- (323) 660-0900
- Fax
- (323) 660-0771
- NPI assigned
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 0002704429-0001-6 | CA | Primary |
Addresses
Primary practice location
5235 W Sunset Blvd
Los Angeles, CA 90027-5709
Mailing address
20008 Gilbert Dr
Canyon Country, CA 91351-4810
Phone (626) 510-5335
Other names 1
- Cara Stephanie Kenda
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002704429-0001-6 | CA | MD | Methadone Clinic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1972196152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20008 GILBERT DR",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913514810",
"telephone_number": "626-510-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5235 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275709",
"telephone_number": "323-660-0900",
"fax_number": "323-660-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDA",
"first_name": "CARA",
"middle_name": "STEPHANIE",
"credential": "NURSE LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "CA",
"license": "0002704429-0001-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARA",
"last_name": "KENDA",
"middle_name": "STEPHANIE",
"credential": "CARA KENDA LVN",
"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 Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.