Individual provider Active NPI

Anna Rima West

  • Marriage & Family Therapist
  • Pacoima, CA
National Provider Identifier
1356691265
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT100347 Issued in CA
Practice address
11643 Glenoaks Blvd
Pacoima, CA 91331-1050
Phone
(818) 897-2609
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 LMFT100347 CA Primary

Addresses

Primary practice location

11643 Glenoaks Blvd
Pacoima, CA 91331-1050

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612

Other practice location 1

1540 E Colorado St
Glendale, CA 91205-1514
Phone (818) 244-7257

Other identifiers 1

IdentifierTypeStateIssuer
100347OtherCABOARD OF BEHAVIORAL SERVICES

Other names 1

  • Anna Rima Asheghian Former name

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
I20240329001011 CA Practitioner - Marriage and Family Therapist 5597103325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Healthcare ServicesGroup PAC ID 5799123352, 6 clinicians

Practice addresses (Care Compare)

5901 W Olympic Blvd
Suite 404
Los Angeles, CA 90036-4669
Phone (818) 279-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT100347CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healthcare Services CurrentSince Dec 23, 2024 Accepting new patients
Didi Hirsch Psychiatric Service CurrentSince Feb 15, 2024 Accepting new patients
Didi Hirsch Psychiatric Service CurrentSince Feb 15, 2024 Accepting new patients
Didi Hirsch Psychiatric Service Current Accepting new patients

Locations

1540 E Colorado St
Glendale, CA 91205
Phone (818) 244-7257

4760 Sepulveda Blvd
Los Angeles, CA 90230
Phone (310) 751-5344

5901 W Olympic Blvd
Ste 404
Los Angeles, CA 90036
Phone (323) 928-9999

11643 Glenoaks Blvd
Pacoima, CA 91331
Phone (818) 897-2609

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1356691265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612",
            "fax_number": "310-398-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11643 GLENOAKS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311050",
            "telephone_number": "818-897-2609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 E Colorado St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051514",
            "country_code": "US",
            "telephone_number": "818-244-7257",
            "fax_number": "818-243-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANNA",
        "middle_name": "RIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT100347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SERVICES",
            "identifier": "100347",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "ASHEGHIAN",
            "middle_name": "RIMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pacoima, CA

Sources for this page

Verify at the official NPI Registry.