Individual provider Active NPI

Paul Michael Remmele, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1376737213
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90574 Issued in CA
Practice address
10642 Santa Monica Blvd
Suite #201
Los Angeles, CA 90025-4525
Phone
(310) 475-9620
NPI assigned
Sep 4, 2007
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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 90574 CA Primary

Addresses

Primary practice location

10642 Santa Monica Blvd
Suite #201
Los Angeles, CA 90025-4525

Mailing address

4031 McLaughlin Ave
Apt #9
Los Angeles, CA 90066-5468
Phone (310) 570-3490

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
I20241104001657 CA Practitioner - Marriage and Family Therapist 8820521446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advances in Mental Health and Addictions Treatment Inc CurrentSince Aug 25, 2024 Accepting new patients
Focus on All-Child Therapies Marriage & Family Therapist Past Accepting new patients

Locations

18672 Florida St
Ste 100
Huntington Beach, CA 92648
Phone (714) 596-4705

5199 E Pacific Coast Hwy
Ste 330N
Long Beach, CA 90804
Phone (562) 365-2020

Organizations & group practices 2

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1376737213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 MCLAUGHLIN AVE",
            "address_2": "APT #9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665468",
            "telephone_number": "310-570-3490",
            "fax_number": "310-306-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10642 SANTA MONICA BLVD",
            "address_2": "SUITE #201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254525",
            "telephone_number": "310-475-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMMELE",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.