Individual provider Active NPI

Natalie Komashko-Tangner, LMFT,CDS,PPS

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1346818630
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
40810 Issued in CA
Practice address
5738 Mammoth Ave
Van Nuys, CA 91401-4417
Phone
(805) 750-3581
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 40810 CA Primary

Addresses

Primary practice location

5738 Mammoth Ave
Van Nuys, CA 91401-4417

Mailing address

4110 Edison Ave
Chino, CA 91710-8409
Phone (805) 750-3581

Other names 1

  • Natalie Komashko-Tangner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1346818630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108409",
            "telephone_number": "805-750-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 MAMMOTH AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014417",
            "telephone_number": "805-750-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMASHKO-TANGNER",
        "first_name": "NATALIE",
        "credential": "LMFT,CDS,PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "KOMASHKO-TANGNER",
            "credential": "TANGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.