Individual provider Active NPI

Bosco Ho, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1104195908
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106506 Issued in CA
Practice address
1968 W Adams Blvd Ste 106
Los Angeles, CA 90018-3515
Phone
(213) 445-6897
NPI assigned
Dec 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 106506 CA Primary

Addresses

Primary practice location

1968 W Adams Blvd Ste 106
Los Angeles, CA 90018-3515

Mailing address

1968 W Adams Blvd Ste 106
Los Angeles, CA 90018-3515
Phone (213) 445-6897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225003800 CA Practitioner - Marriage and Family Therapist 8325568959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothill Behavioral Health Consultants Inc 11 clinicians

Practice addresses (Care Compare)

15434 W Sage St
Suite 101
Victorville, CA 92392-9708
Phone (760) 843-0506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Behavioral Health Consultants Inc Marriage & Family Therapist CurrentSince Dec 21, 2024 Accepting new patients
Savanna Olsson, Pmhnp: a Professional Nursing Corporation PastSince Feb 24, 2022 Accepting new patients

Locations

9220 Haven Ave
Ste 301
Rancho Cucamonga, CA 91730
Phone (760) 843-0506

15434 W Sage St
Ste 101
Victorville, CA 92392
Phone (760) 843-0506

15434 W Sage St
Victorville, CA 92392
Phone (760) 563-2875

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1104195908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 W ADAMS BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183515",
            "telephone_number": "213-445-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 W ADAMS BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183515",
            "telephone_number": "213-445-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "BOSCO",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.