Individual provider Active NPI

Sufi Yousefi-Farkhan, MA MFTI

  • Marriage & Family Therapist
  • Carson, CA
National Provider Identifier
1366564932
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF43889 Issued in CA
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

Updated by the provider on Jul 9, 2007

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 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

IdentifierTypeStateIssuer
00007570MedicaidCA
CBSC403OtherCALA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826001794 CA Practitioner - Marriage and Family Therapist 6204336910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Medi Psych Services IncGroup PAC ID 3870908320, 17 clinicians

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

LicenseStateTypeSpecialty
IMF43889CAMDMarriage & Family Therapist
50685CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc CurrentSince Jun 12, 2025 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.

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

Verify at the official NPI Registry.