Individual provider Active NPI

Allan Christopher Marshall

  • Pastoral Counselor
  • Torrance, CA
National Provider Identifier
1205689684
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
6569372-0160 Issued in CA
Practice address
2714 Andreo Ave
Torrance, CA 90501-4601
Phone
(424) 232-1640
Fax
(310) 533-9154
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 6569372-0160 CA Primary

Addresses

Primary practice location

2714 Andreo Ave
Torrance, CA 90501-4601

Mailing address

2714 Andreo Ave
Torrance, CA 90501-4601
Phone (424) 232-1640

Other practice location 1

19503 Normandie Ave
Torrance, CA 90501-1361
Phone (424) 232-1640

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
6569372-0160CAMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1205689684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 ANDREO AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014601",
            "telephone_number": "424-232-1640",
            "fax_number": "310-533-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 ANDREO AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014601",
            "telephone_number": "424-232-1640",
            "fax_number": "310-533-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19503 Normandie Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905011361",
            "country_code": "US",
            "telephone_number": "424-232-1640",
            "fax_number": "310-533-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ALLAN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "6569372-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.