Angga Smaradika Rahadyan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

154558 Issued in CA

Practice address

4255 Campus Dr Ste A245
Irvine, CA 92612-8630

Phone

(949) 502-0736

NPI assigned

May 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Congruent Lives Inc

  • Marriage & Family Therapist
  • Brea, CA
  • NPI 1184181786
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1023675576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR STE A245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128630",
            "telephone_number": "949-502-0736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Chapman Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313737",
            "country_code": "US",
            "telephone_number": "949-293-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHADYAN",
        "first_name": "ANGGA",
        "middle_name": "SMARADIKA",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES - CALIFORNIA",
            "identifier": "154558",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Jose Rafael Jr., RBT-18-59188
• Aliza Rafiq
• Amir B Rafizad, M.D.
• Carolina Rafols
• Dina M. Ragheb, M.D.
• Sohrab Rahbar, DDS
• Sahar Rahgozar, PA-C
• Nahid Rahimi-Meshkin
• Noor J Rahimi, DDS
• Amirali Rahmani

• Marriage & Family Therapist in Irvine, CA
• Providers in Irvine, 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 Oct 1, 2026; 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.