Vida Khavar, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 40809 Issued in CA

Practice address

760 Mountain View St
Altadena, CA 91001-4925

Phone

(626) 246-1757

NPI assigned

Apr 6, 2007

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1063535011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N GRAND AVE APT 304",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033520",
            "telephone_number": "818-458-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MOUNTAIN VIEW ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014925",
            "telephone_number": "626-246-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVAR",
        "first_name": "VIDA",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geric Lakeith Kenebrew
• Eileen Jacqueline Kenny, DC
• Miranda Cathryn Kent, LMFT
• Vanessa Keo, LVN
• Khalida Pathan MD Dba KP Medical Center (KP Medical Center)
• Ralph Phillip Kiehl
• Laura Kietzman-Greer, PT, DPT
• Samuel Junwon Kim
• Kinter & Quinn, Inc. (Play On Pediatric Therapy)
• Vinson Allen Knight

• Marriage & Family Therapist in Altadena, CA
• Providers in Altadena, 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 Mar 23, 2012; 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.