Individual provider Active NPI

Sandra Ramirez-Barrios

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1124540752
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT126301 Issued in CA
Practice address
9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Phone
(310) 237-0461
Fax
(310) 945-3356
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 LMFT126301 CA Primary

Addresses

Primary practice location

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Mailing address

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Phone (310) 237-0461

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
I20241007000354 CA Practitioner - Marriage and Family Therapist 4385175009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exodus Recovery IncGroup PAC ID 2668467341, 16 clinicians

Practice addresses (Care Compare)

12021 S Wilmington Ave
FL 2 Ic1 Ic7
Los Angeles, CA 90059-3019
Phone (562) 295-5916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT126301CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Recovery, Inc. CurrentSince Jul 11, 2024 Accepting new patients
Exodus Recovery Inc Current Accepting new patients
Exodus Recovery Inc CurrentSince Jul 11, 2024 Accepting new patients

Locations

9808 Venice Blvd
Ste 700
Culver City, CA 90232
Phone (310) 253-9494

12021 Wilmington Ave
Fl 2
Los Angeles, CA 90059
Phone (424) 454-5000

Organizations & group practices 3

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1124540752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326818",
            "telephone_number": "310-237-0461",
            "fax_number": "310-945-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326818",
            "telephone_number": "310-237-0461",
            "fax_number": "310-945-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-BARRIOS",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT126301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.