Active NPI
Mary Brearley Khan, MFT
- Marriage & Family Therapist
- Torrance, CA
National Provider Identifier
1376716001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC49573
- Practice address
- 19701 Hamilton Ave
Suite 160
Torrance, CA 90502-1352 - Phone
- (310) 817-2177
- Fax
- (310) 817-2178
- NPI assigned
- Apr 2, 2008
- 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 | MFC49573 | CA | Primary |
Addresses
Primary practice location
19701 Hamilton Ave
Suite 160
Torrance, CA 90502-1352
Mailing address
738 S Los Angeles St Apt 401
Los Angeles, CA 90014-2188
Phone (310) 487-1796
Other names 1
- Mary Brearley Rauch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC49573 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1376716001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 S LOS ANGELES ST APT 401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900142188",
"telephone_number": "310-487-1796",
"fax_number": "310-487-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 HAMILTON AVE",
"address_2": "SUITE 160",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021352",
"telephone_number": "310-817-2177",
"fax_number": "310-817-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MARY",
"middle_name": "BREARLEY",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC49573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "RAUCH",
"middle_name": "BREARLEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.