Active NPI
Ahmad Emdad, MA., MFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1104096791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33422
- Practice address
- 2001 S Barrington Ave
Los Angeles, CA 90025-5363 - Phone
- (310) 499-6677
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 33422 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave
Los Angeles, CA 90025-5363
Mailing address
608 San Vicente Blvd Apt 10
Santa Monica, CA 90402-1846
Phone (310) 393-0976
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33422 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1104096791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 SAN VICENTE BLVD APT 10",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904021846",
"telephone_number": "310-393-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255363",
"telephone_number": "310-499-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMDAD",
"first_name": "AHMAD",
"name_prefix": "Mr.",
"credential": "MA., MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33422",
"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 Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.