Individual provider Active NPI

Chandler Lloyd Riley

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1053982348
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
159479 Issued in CA
Practice address
5800 Hannum Ave Ste 100
Culver City, CA 90230-6553
Phone
(310) 410-9504
NPI assigned
Jul 7, 2021
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 159479 CA Primary

Addresses

Primary practice location

5800 Hannum Ave Ste 100
Culver City, CA 90230-6553

Mailing address

1518 Sams Hill Rd Apt 53
El Cajon, CA 92021-3096
Phone (323) 632-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
159479CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Brown, PH.D., a Psychological Corporation CurrentSince Nov 24, 2025 Accepting new patients

Locations

5800 Hannum Ave
Ste 100
Culver City, CA 90230
Phone (310) 410-9504

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1053982348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 SAMS HILL RD APT 53",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213096",
            "telephone_number": "323-632-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HANNUM AVE STE 100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306553",
            "telephone_number": "310-410-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHANDLER",
        "middle_name": "LLOYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "159479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.