Active NPI
Sufi Yousefi-Farkhan, MA MFTI
- Marriage & Family Therapist
- Carson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF43889
- Practice address
- 460 E Carson Plaza Dr
Suite 102
Carson, CA 90746-3228 - Phone
- (310) 523-9500
- Fax
- (310) 225-2725
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF43889 | CA | Primary |
Addresses
Primary practice location
460 E Carson Plaza Dr
Suite 102
Carson, CA 90746-3228
Mailing address
15146 Moorpark St # 107
Sherman Oaks, CA 91403-2422
Phone (818) 793-7073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007570 | Medicaid | CA | |
| CBSC403 | Other | CA | LA DMH PROVIDER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
15260 Ventura Blvd
Suite 1200
Sherman Oaks, CA 91403-5347
Phone (310) 879-1097
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF43889 | CA | MD | Marriage & Family Therapist |
| 50685 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medi Psych Services Inc | Current | Accepting new patients |
Locations
1601 Pacific Coast Hwy
Ste 255
Hermosa Beach, CA 90254
3400 Inland Empire Blvd
Ste 101
Ontario, CA 91764
Phone (909) 638-2475
13701 Riverside Dr
Ste 606
Sherman Oaks, CA 91423
Phone (310) 871-0670
15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670
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 and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Sherman Oaks, CA
- NPI 1326665316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366564932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15146 MOORPARK ST # 107",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032422",
"telephone_number": "818-793-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 E CARSON PLAZA DR",
"address_2": "SUITE 102",
"city": "CARSON",
"state": "CA",
"postal_code": "907463228",
"telephone_number": "310-523-9500",
"fax_number": "310-225-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSEFI-FARKHAN",
"first_name": "SUFI",
"name_prefix": "Mrs.",
"credential": "MA MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF43889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "CBSC403",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.