KEN IVEN BANTOL PMHNP-BC
NPI 1841055811
Nurse Practitioner - Psychiatric/Mental Health in Granada Hills, CA

Q: What is Ken Iven Bantol's NPI number?

The NPI number for Ken Iven Bantol is 1841055811. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Ken Iven Bantol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ken Iven Bantol was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 19, 2024

10400 GLORIA AVE, GRANADA HILLS, CA 91344(818) 867-0500 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ken Iven Bantol Pmhnp-bc NPPES

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

KEN IVEN BANTOL PMHNP-BC (NPI 1841055811) is an individual psychiatric/mental health provider in Granada Hills, California, licensed in California (95027351) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1841055811

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKEN IVEN BANTOLCredential: PMHNP-BC

Location Address10400 GLORIA AVEGranada Hills, CA 91344-7123

Mailing Address10400 Gloria AveGranada Hills, CA 91344-7123

Phone(818) 867-0500

Sole ProprietorYes

Enumeration DateFebruary 19, 2024

NPPES CertifiedFebruary 18, 2024

✔ NPI 1841055811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95027351

10400 GLORIA AVE, Granada Hills, CA 91344

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Other Identifiers 1

Other95027351CA · Nurse Practitioner Furnishing

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 Ken Iven Bantol's NPI number?

The NPI number for Ken Iven Bantol is 1841055811. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Ken Iven Bantol located?

Ken Iven Bantol practices at 10400 Gloria Ave, Granada Hills, CA 91344. The listed phone number is (818) 867-0500.

What is Ken Iven Bantol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ken Iven Bantol was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.