Individual provider Active NPI

Tannaz Talasazan, M.A.

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1174865737
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53010 Issued in CA
Practice address
520 S Sepulveda Blvd Ste 306
Los Angeles, CA 90049-3536
Phone
(310) 943-9004
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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 MFC53010 CA Primary

Addresses

Primary practice location

520 S Sepulveda Blvd Ste 306
Los Angeles, CA 90049-3536

Mailing address

8544 Burton Way Apt 108
Los Angeles, CA 90048-3388
Phone (310) 500-8629

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 Arts

State licenses

LicenseStateTypeSpecialty
MFC53010CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1174865737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 BURTON WAY APT 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483388",
            "telephone_number": "310-500-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SEPULVEDA BLVD STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493536",
            "telephone_number": "310-943-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALASAZAN",
        "first_name": "TANNAZ",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53010",
            "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 Mar 21, 2013; 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.