Individual provider Active NPI

Erika Hadinata, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1033765193
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98997 Issued in CA
Practice address
1400 Bristol St N Ste 245B
Newport Beach, CA 92660-2965
Phone
(949) 239-7582
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 98997 CA Primary

Addresses

Primary practice location

1400 Bristol St N Ste 245B
Newport Beach, CA 92660-2965

Mailing address

1400 Bristol St N Ste 245B
Newport Beach, CA 92660-2965
Phone (949) 239-7582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003087 CA Practitioner - Marriage and Family Therapist 2466897996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98997CAMDMarriage & Family Therapist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1033765193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRISTOL ST N STE 245B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602965",
            "telephone_number": "949-239-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRISTOL ST N STE 245B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602965",
            "telephone_number": "949-239-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADINATA",
        "first_name": "ERIKA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.