Active NPI
Elinor Bawnik
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1154986172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 127577
- Practice address
- 4831 W Jefferson Blvd
Los Angeles, CA 90016-3920 - Phone
- (424) 431-1122
- Fax
- (323) 334-4437
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 127577 | CA | Primary |
Addresses
Primary practice location
4831 W Jefferson Blvd
Los Angeles, CA 90016-3920
Mailing address
730 S Serrano Ave Apt 25
Los Angeles, CA 90005-2813
Phone (424) 431-1122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127577 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1154986172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 S SERRANO AVE APT 25",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900052813",
"telephone_number": "424-431-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4831 W JEFFERSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900163920",
"telephone_number": "424-431-1122",
"fax_number": "323-334-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWNIK",
"first_name": "ELINOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "127577",
"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 Sep 21, 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.