Active NPI
Edward George Garren, MA LMFT CA
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1265551048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC27181
- Practice address
- 3781 1/2 Cimarron St
Upstairs
Los Angeles, CA 90018-4463 - Phone
- (213) 596-9674
- Fax
- (213) 596-9082
- NPI assigned
- Mar 29, 2007
- 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 | MFC27181 | CA | Primary |
Addresses
Primary practice location
3781 1/2 Cimarron St
Upstairs
Los Angeles, CA 90018-4463
Mailing address
3781 1/2 Cimarron St
Upstairs
Los Angeles, CA 90018-4463
Phone (213) 596-9674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271177 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1246 W 58TH PL
Los Angeles, CA 90044-2802
Phone (213) 596-9674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC27181 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1265551048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3781 1/2 CIMARRON ST",
"address_2": "UPSTAIRS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900184463",
"telephone_number": "213-596-9674",
"fax_number": "213-596-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3781 1/2 CIMARRON ST",
"address_2": "UPSTAIRS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900184463",
"telephone_number": "213-596-9674",
"fax_number": "213-596-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARREN",
"first_name": "EDWARD",
"middle_name": "GEORGE",
"credential": "MA LMFT CA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC27181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271177",
"state": "OR"
}
],
"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 Jun 25, 2015; 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.