Individual provider Active NPI

Jasmine Anvar, MFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1154781375
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90918 Issued in CA
Practice address
3301 Ocean Park Blvd
Suite 102
Santa Monica, CA 90405-3227
Phone
(424) 645-0322
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 90918 CA Primary

Addresses

Primary practice location

3301 Ocean Park Blvd
Suite 102
Santa Monica, CA 90405-3227

Mailing address

4105 Pacific Ave Apt 4
Marina del Rey, CA 90292-5950
Phone (310) 919-7584

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
90918CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1154781375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 PACIFIC AVE APT 4",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925950",
            "telephone_number": "310-919-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 OCEAN PARK BLVD",
            "address_2": "SUITE 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053227",
            "telephone_number": "424-645-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANVAR",
        "first_name": "JASMINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.