Individual provider Active NPI

Eric Phillip Walker

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1144704495
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT130352 Issued in CA
Practice address
3685 Motor Ave Ste 220
Los Angeles, CA 90034-5746
Phone
(310) 498-0104
NPI assigned
Sep 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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 LMFT130352 CA Primary

Addresses

Primary practice location

3685 Motor Ave Ste 220
Los Angeles, CA 90034-5746

Mailing address

13924 Panay Way
403
Marina del Rey, CA 90292-6193
Phone (310) 498-0104

Other practice location 1

13924 Panay Way Apt 403
Marina Del Rey, CA 90292-6193
Phone (310) 498-0104

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

State licenses

LicenseStateTypeSpecialty
LMFT130352CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solution Room Therapy CurrentSince May 1, 2022 Accepting new patients

Locations

3685 Motor Ave
Ste 220
Los Angeles, CA 90034
Phone (310) 498-0104

Organizations & group practices 1

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": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1144704495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13924 PANAY WAY",
            "address_2": "403",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926193",
            "telephone_number": "310-498-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 MOTOR AVE STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345746",
            "telephone_number": "310-498-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13924 Panay Way Apt 403",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926193",
            "country_code": "US",
            "telephone_number": "310-498-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ERIC",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-22",
        "last_updated": "2022-04-24",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT130352",
            "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 Apr 24, 2022; 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.