Individual provider Active NPI

Richard H Gadue, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1265651178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 37407 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MFC 37407CAMDMarriage & 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

Verify at the official NPI Registry.