John Thomas Derwart II

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

11303 Wilshire Blvd BLDG 116
Los Angeles, CA 90025-5069

Phone

(310) 914-4045

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003345968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 WILSHIRE BLVD BLDG 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255069",
            "telephone_number": "310-914-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 WILSHIRE BLVD BLDG 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255069",
            "telephone_number": "310-914-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERWART",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Deross, M.D.
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• Frank C Derratt, DC
• Sabrina Fraser Derrington, M.D.
• Christina Desage
• Aanal Jay Desai, M.D.
• Alisha Desai, M.S., CCC-SLP
• Angeli Desai
• Anish B Desai, M.D.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.