Individual provider Active NPI

Rouel E Cazanjian

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1366910457
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC44652 Issued in CA
Practice address
520 S Sepulveda Blvd Ste 307
Los Angeles, CA 90049-3537
Phone
(310) 226-6196
NPI assigned
Nov 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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 MFC44652 CA Primary

Addresses

Primary practice location

520 S Sepulveda Blvd Ste 307
Los Angeles, CA 90049-3537

Mailing address

520 S Sepulveda Blvd Ste 307
Los Angeles, CA 90049-3537
Phone (310) 226-6196

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

State licenses

LicenseStateTypeSpecialty
MFC44652CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1366910457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S SEPULVEDA BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493537",
            "telephone_number": "310-226-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SEPULVEDA BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493537",
            "telephone_number": "310-226-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZANJIAN",
        "first_name": "ROUEL",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44652",
            "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 Nov 6, 2018; 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.