Active NPI
Briana Nicole Yedalian, LMFT
- Marriage & Family Therapist
- La Crescenta, CA
National Provider Identifier
1053942540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2512 Foothill Blvd Ste 4
La Crescenta, CA 91214-3506 - Phone
- (818) 421-2732
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CA | Primary |
Addresses
Primary practice location
2512 Foothill Blvd Ste 4
La Crescenta, CA 91214-3506
Mailing address
PO Box 2291
Monrovia, CA 91017-6291
Other names 1
- Briana Nicole Pambakian
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241113004251 | CA | Practitioner - Marriage and Family Therapist | 3375077381 | Practice locations: Monrovia, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1053942540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2291",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910176291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 FOOTHILL BLVD STE 4",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143506",
"telephone_number": "818-421-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEDALIAN",
"first_name": "BRIANA",
"middle_name": "NICOLE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANA",
"last_name": "PAMBAKIAN",
"middle_name": "NICOLE",
"credential": "AMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.