Alex Jules Russan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

154137 Issued in CA

Practice address

2665 30TH St
Santa Monica, CA 90405-3063

Phone

(310) 439-8251

NPI assigned

May 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 27, 2025 through Nov 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1033801642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 OCEAN PARK BLVD # 319",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052905",
            "telephone_number": "310-439-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 30TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053063",
            "telephone_number": "310-439-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSAN",
        "first_name": "ALEX",
        "middle_name": "JULES",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ruiz, DPT
• Tamara Michele Rumburg, PSY.D.
• Allison Anne Rummell
• Bruce A. Rush, PSY.D.
• Russ T Shimizu, M.D., Inc.
• Margaret Louise Russell, PH.D.
• Michael David Russell, MD, MBA, MPH
• Megan Rustad, DDS
• Christopher Harrison Ruth, DAOM, LAC
• Ann Ita Ryan, MD

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, 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 Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.