Individual provider Active NPI

Cara Stephanie Kenda, NURSE LVN

  • Methadone Clinic
  • Los Angeles, CA
National Provider Identifier
1972196152
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
0002704429-0001-6 Issued in CA
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

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
0002704429-0001-6CAMDMethadone 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.

Verify at the official NPI Registry.