Charro Kennebruew
NPI 1063053684 · Licensed Psychiatric Technician · Lynwood, CA
Charro Kennebruew is a Licensed Psychiatric Technician provider in Lynwood, CA (NPI 1063053684).
Provider details
- NPI number
- 1063053684
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APCC7330 (CA)
Specialties & taxonomies
Nursing Service Providers
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 17695 Industrial Farm RdBakersfield, CA 93308-9520Phone: (661) 391-3190
- 3628 Stockdale HwyBakersfield, CA 93309-2153Phone: (661) 322-1021
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2022-01-05
- Certified
- 2022-01-05
Frequently asked questions
- What is Charro Kennebruew's NPI number?
- Charro Kennebruew's National Provider Identifier (NPI) is 1063053684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charro Kennebruew's specialty?
- Charro Kennebruew is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).
- Where is Charro Kennebruew located?
- Charro Kennebruew's practice location on file with NPPES is 2640 Industry Way, Lynwood, CA 90262-4284.
- What is Charro Kennebruew's phone number?
- The practice phone number listed in the NPPES registry for Charro Kennebruew is (310) 627-4525.
- Is Charro Kennebruew's NPI active?
- Yes — Charro Kennebruew's NPI (1063053684) is active in the NPPES registry as of the last update on 2022-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.