Individual provider Active NPI

Gina Ali, AMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1366156085
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117702 Issued in CA
Practice address
4010 Sawtelle Blvd
Los Angeles, CA 90066-5408
Phone
(213) 394-2665
NPI assigned
Jan 9, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 117702 CA Primary

Addresses

Primary practice location

4010 Sawtelle Blvd
Los Angeles, CA 90066-5408

Mailing address

4500 Woodman Ave Apt A315
Sherman Oaks, CA 91423-5566
Phone (818) 322-5782

Other practice location 1

4500 Woodman Ave Apt A315
Sherman Oaks, CA 91423-5566
Phone (818) 322-5782

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nokdu Therapy a Licensed Clinical Social Worker Professional Corp CurrentSince Jan 22, 2023 Accepting new patients

Locations

4010 Sawtelle Blvd
Los Angeles, CA 90066
Phone (213) 290-3870

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1366156085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WOODMAN AVE APT A315",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235566",
            "telephone_number": "818-322-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665408",
            "telephone_number": "213-394-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Woodman Ave Apt A315",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914235566",
            "country_code": "US",
            "telephone_number": "818-322-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "GINA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117702",
            "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 Jan 20, 2023; 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.