Individual provider Active NPI

Charles Peter Eckstein, M.A.,M.F.T.

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1093883803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41510 Issued in CA
Practice address
423 S Pacific Coast Hwy
Ste 102
Redondo Beach, CA 90277-3700
Phone
(310) 792-1823
Fax
(310) 540-8040
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC 41510 CA Primary

Addresses

Primary practice location

423 S Pacific Coast Hwy
Ste 102
Redondo Beach, CA 90277-3700

Mailing address

423 S Pacific Coast Hwy
Ste. 102
Redondo Beach, CA 90277-3700
Phone (310) 792-1823

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 41510CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093883803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S PACIFIC COAST HWY",
            "address_2": "STE. 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773700",
            "telephone_number": "310-792-1823",
            "fax_number": "310-540-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S PACIFIC COAST HWY",
            "address_2": "STE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773700",
            "telephone_number": "310-792-1823",
            "fax_number": "310-540-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTEIN",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.A.,M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.