Individual provider Active NPI

Derrick Knight

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1013884543
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158886 Issued in CA
Practice address
732 Shepard St
San Pedro, CA 90731-7139
Phone
(213) 373-3067
NPI assigned
Oct 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 158886 CA Primary

Addresses

Primary practice location

732 Shepard St
San Pedro, CA 90731-7139

Mailing address

732 Shepard St
San Pedro, CA 90731-7139

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://angeles-life-coaching.my.canva.site/derrick-knight-amft

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
158886CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1013884543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SHEPARD ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 SHEPARD ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317139",
            "telephone_number": "213-373-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://angeles-life-coaching.my.canva.site/derrick-knight-amft",
            "affiliation": "N",
            "endpointDescription": "California Associate Marriage and Family Therapist AMFT 158886",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Profesional Resume",
            "address_1": "732 Shepard St",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907317139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.