CHAD KIYOSHI EBESUTANI
NPI 1215186556
Psychologist - Clinical in Los Angeles, CA

Q: What is Chad Ebesutani's NPI number?

The NPI number for Chad Ebesutani is 1215186556. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Q: What is Chad Ebesutani's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Chad Ebesutani was last updated on October 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 11, 2008

1000 VETERAN AVE, LOS ANGELES, CA 90024(310) 825-3301 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chad Kiyoshi Ebesutani NPPES

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

CHAD KIYOSHI EBESUTANI (NPI 1215186556) is an individual clinical provider in Los Angeles, California, licensed in Hawaii (H00715964) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1215186556

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHAD KIYOSHI EBESUTANI

Location Address1000 VETERAN AVELos Angeles, CA 90024-2704

Mailing AddressPo Box 951563Los Angeles, CA 90095-1563 · (310) 825-3301

Phone(310) 825-3301

Sole ProprietorYes

Enumeration DateSeptember 11, 2008

Last NPPES UpdateOctober 2, 2009

✔ NPI 1215186556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · H00715964

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1000 VETERAN AVE, Los Angeles, CA 90024

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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.

MS. JOANNA TOL

Case Manager/Care Coordinator

1000 VETERAN AVE, 21-52
LOS ANGELES, CA 90024

Los Angeles County (310) 825-6110

VIVIANA PADILLA

Student in an Organized Health Care Education/Training Program

1000 VETERAN AVE
LOS ANGELES, CA 90024

Los Angeles County (310) 825-6110

ALLISON CROWELL GOODMAN MS

Psychologist (Clinical Child & Adolescent)

1000 VETERAN AVE
LOS ANGELES, CA 90024

Los Angeles County (305) 282-2082

DR. ADITI DASTANE MD

Clinical Medical Laboratory

1000 VETERAN AVE, ROOM 2-226
LOS ANGELES, CA 90024

Los Angeles County (310) 825-9352

MS. KRISTEN MARIE REIDER PT

Physical Therapy Assistant

1000 VETERAN AVE
LOS ANGELES, CA 90024

Los Angeles County (310) 319-1234

LEILA YASHA

Student in an Organized Health Care Education/Training Program

1000 VETERAN AVE
LOS ANGELES, CA 90024

Los Angeles County (310) 825-6110

RUTH ELLINGSEN

Student in an Organized Health Care Education/Training Program

1000 VETERAN AVE
LOS ANGELES, CA 90024

Los Angeles County (310) 825-6110

KAREN MAE AU MD

Internal Medicine (Rheumatology)

1000 VETERAN AVE, REHAB BLDG 32-59
LOS ANGELES, CA 90024

Los Angeles County (310) 825-2448

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 Chad Ebesutani's NPI number?

The NPI number for Chad Ebesutani is 1215186556. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Chad Ebesutani located?

Chad Ebesutani practices at 1000 Veteran Ave, Los Angeles, CA 90024. The listed phone number is (310) 825-3301.

What is Chad Ebesutani's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Chad Ebesutani was last updated on October 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.