Individual provider Active NPI

Briana Nicole Yedalian, LMFT

  • Marriage & Family Therapist
  • La Crescenta, CA
National Provider Identifier
1053942540
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Mar 27, 2024

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 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 Former name

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
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

Verify at the official NPI Registry.