Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ken Iven Bantol, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1841055811

Ken Iven Bantol, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Granada Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

10400 Gloria Ave
Granada Hills, CA 91344-7123
Phone: (818) 867-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95027351 (CA)

Record details

NPI number1841055811
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 18, 2024

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