Individual provider Active NPI

Adam Joshua Swanson, M.S.

  • Marriage & Family Therapist
  • Costa Mesa, CA
National Provider Identifier
1104226679
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98709 Issued in CA
Practice address
1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299
Phone
(949) 302-8443
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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 98709 CA Primary

Addresses

Primary practice location

1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299

Mailing address

1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299
Phone (949) 302-8443

Other practice location 1

30220 Rancho Viejo Rd Ste F
San Juan Capistrano, CA 92675-1568
Phone (949) 302-8443

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 Science

State licenses

LicenseStateTypeSpecialty
98709CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1104226679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272299",
            "telephone_number": "949-302-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272299",
            "telephone_number": "949-302-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30220 Rancho Viejo Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926751568",
            "country_code": "US",
            "telephone_number": "949-302-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "ADAM",
        "middle_name": "JOSHUA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.