NPIMap

Organization Active NPI

Negar Khaefi

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1093053233
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45939 Issued in CA
Legal business name
NEGAR KHAEFI
Practice address
1366 W 7TH St
Suite 4-B
San Pedro, CA 90732-3500
Phone
(310) 547-2197
NPI assigned
Jan 23, 2013
Organization subpart
Yes
Parent organization
SAN PEDRO HEALING ARTS MEDICAL CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria E Baez, RND-DPH-LACNPI 1750329793
Title
Ceo
Phone
(310) 547-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC 45939 CA Primary

Addresses

Primary practice location

1366 W 7TH St
Suite 4-B
San Pedro, CA 90732-3500

Mailing address

1366 W 7TH St
Suite 4-B
San Pedro, CA 90732-3500
Phone (310) 547-2197

Other identifiers 1

IdentifierTypeStateIssuer
MFC 45939OtherCAMARRIAGE AND FAMILY COUNSELING

Other names 1

  • Negar Khaefi Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dustin Martinez DC7 organizations share this tax ID, including this one
Part of
Dustin Martinez DC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1093053233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST",
            "address_2": "SUITE 4-B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323500",
            "telephone_number": "310-547-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST",
            "address_2": "SUITE 4-B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323500",
            "telephone_number": "310-547-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEGAR KHAEFI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN PEDRO HEALING ARTS MEDICAL CLINIC INC",
        "enumeration_date": "2013-01-23",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-547-2197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RND-DPH-LAC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY COUNSELING",
            "identifier": "MFC 45939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Negar Khaefi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.