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SANDRA DIANE KELLAR RADT
NPI 1093360331
Counselor - Addiction (Substance Use Disorder) in Venice, CA

Active since August 05, 2019
717 LINCOLN BLVD, VENICE, CA 90291(310) 399-9883(310) 399-9678 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Diane Kellar Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA DIANE KELLAR RADT (NPI 1093360331) is an individual addiction (substance use disorder) provider in Venice, California, licensed in California (R8617) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1093360331
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSANDRA DIANE KELLARCredential: RADT
Location Address717 LINCOLN BLVDVenice, CA 90291-2845
Mailing Address717 Lincoln BlvdVenice, CA 90291-2845 · (310) 399-9883 · Fax (310) 399-9678
Phone(310) 399-9883
Fax(310) 399-9678
Sole ProprietorNo
Enumeration DateAugust 5, 2019
✔ NPI 1093360331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R8617
717 LINCOLN BLVD, Venice, CA 90291
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS LEDESMA I
Licensed Vocational Nurse
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
EL DORADO COMMUNITY SERVICE CENTER
Clinic/Center (Primary Care)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
TY'SHUNNA JACKSON
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
ESTEFANIA BERNABE RADT
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
AMERICAN HEALTH SERVICES LLC
Clinic/Center (Methadone)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
ANTONIO DE JESUS SANCHEZ
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
AMERICAN HEALTH SERVICES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
GERTRUDE BRIGGS
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Kellar's NPI number?

The NPI number for Sandra Kellar is 1093360331. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Sandra Kellar located?

Sandra Kellar practices at 717 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 399-9883.

What is Sandra Kellar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sandra Kellar was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.