Alex Habib Riazati, PSYCHOLOGY TRAINEE

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

921 S Beacon St
San Pedro, CA 90731-3740

Phone

(310) 984-3055

NPI assigned

Sep 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1245563766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24959 CLIFFROSE ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928838468",
            "telephone_number": "310-505-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BEACON ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313740",
            "telephone_number": "310-984-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAZATI",
        "first_name": "ALEX",
        "middle_name": "HABIB",
        "name_prefix": "Mr.",
        "credential": "PSYCHOLOGY TRAINEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Institute of California Medical Group, a California Medical Par
• Adrian Reveles, LCSW #112718
• Monica Reynoso
• Caroline June Rhee, PHARMD, RPH
• Riamd, Incorporation
• Richard C. Smith, M.D. a Professional Corporation
• Richard S. Gluckman M.D. Inc
• Tori Riley
• Andrea Rios
• Sheree Capri Carmelita Marie Risley Aragon, LCSW

• Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.