Individual provider Active NPI

David Fujinaka, LMFT

  • Marriage & Family Therapist
  • Pacific Palisades, CA
National Provider Identifier
1215617196
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
140459 Issued in CA
Practice address
616 Radcliffe Ave
Pacific Palisades, CA 90272-4331
Phone
(310) 570-3683
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118001038 CA Practitioner - Marriage and Family Therapist 2567814254 Reassigns benefits to 2 organizations

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
Kohan International FoundationGroup PAC ID 6406169820, 5 clinicians

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

LicenseStateTypeSpecialty
140459CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Jan 21, 2026 Accepting new patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist CurrentSince Dec 14, 2025 Accepting new patients
Kohan International Foundation Marriage & Family Therapist CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.