Active NPI
Eloisa Smith
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1073814414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1401 S. Grand Avenue
Leavy Hall, 3Rd Floor
Los Angeles, CA 90015 - Phone
- (323) 242-5000
- NPI assigned
- Nov 16, 2010
- Last updated
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
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
1401 S. Grand Avenue
Leavy Hall, 3Rd Floor
Los Angeles, CA 90015
Mailing address
1401 South Grand Avenue
Leavy Hall, 3Rd Floor
Los Angeles, CA 90015
Phone (213) 742-5822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1073814414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SOUTH GRAND AVENUE",
"address_2": "LEAVY HALL, 3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90015",
"telephone_number": "213-742-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S. GRAND AVENUE",
"address_2": "LEAVY HALL, 3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90015",
"telephone_number": "323-242-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELOISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.