Organization Active NPI

Newvida

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1306354758
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96611 Issued in CA
Legal business name
NEWVIDA
Practice address
1091 N Gage Ave
Los Angeles, CA 90063-2131
Phone
(213) 819-3586
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Leticia G Tun, LMFTNPI 1699082958
Title
Owner
Phone
(213) 819-3586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 96611 CA Primary

Addresses

Primary practice location

1091 N Gage Ave
Los Angeles, CA 90063-2131

Mailing address

1091 N Gage Ave
Los Angeles, CA 90063-2131
Phone (213) 819-3586

Other names 1

  • NEWVIDA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1306354758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 N GAGE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632131",
            "telephone_number": "213-819-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 N GAGE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632131",
            "telephone_number": "213-819-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWVIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "TUN",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-819-3586",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWVIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2025; 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.