Active NPI
Richard H Gadue, MFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1265651178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 37407
- Practice address
- 6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703 - Phone
- (310) 980-6412
- Fax
- (847) 307-8310
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 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 | MFC 37407 | CA | Primary |
Addresses
Primary practice location
6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703
Mailing address
426 S Sepulveda Blvd
Apt 315
Los Angeles, CA 90049-3554
Phone (310) 889-7803
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240409000479 | CA | Practitioner - Marriage and Family Therapist | 1759729874 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 37407 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265651178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 S SEPULVEDA BLVD",
"address_2": "APT 315",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493554",
"telephone_number": "310-889-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6399 WILSHIRE BLVD",
"address_2": "SUITE 312",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485703",
"telephone_number": "310-980-6412",
"fax_number": "847-307-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADUE",
"first_name": "RICHARD",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 37407",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.