Active NPI
David Fujinaka, LMFT
- Marriage & Family Therapist
- Pacific Palisades, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140459
- Practice address
- 616 Radcliffe Ave
Pacific Palisades, CA 90272-4331 - Phone
- (310) 570-3683
- NPI assigned
- Jul 24, 2023
- Last updated
- Jul 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 140459 | CA | Primary |
Addresses
Primary practice location
616 Radcliffe Ave
Pacific Palisades, CA 90272-4331
Mailing address
616 Radcliffe Ave
Pacific Palisades, CA 90272-4331
Phone (310) 570-3683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5601 W Slauson Ave
Suite 192
Culver City, CA 90230-6569
Phone (424) 331-9070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140459 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Brighter Tomorrow Family Therapy Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Kohan International Foundation | Marriage & Family Therapist | Current | Accepting new patients |
Locations
5601 W Slauson Ave
Ste 192
Culver City, CA 90230
Phone (310) 968-6648
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Culver City, CA
- NPI 1538424049
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
- Mental Health Counselor
- Culver City, CA
- NPI 1376407841
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1215617196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 RADCLIFFE AVE",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724331",
"telephone_number": "310-570-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 RADCLIFFE AVE",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724331",
"telephone_number": "310-570-3683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJINAKA",
"first_name": "DAVID",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.