Individual provider Active NPI

Vania Djavid

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1376947069
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123899 Issued in CA
Practice address
1151 Dove St Ste 244
Newport Beach, CA 92660-2806
Phone
(949) 334-7171
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 123899 CA Primary

Addresses

Primary practice location

1151 Dove St Ste 244
Newport Beach, CA 92660-2806

Mailing address

1715 Glen Kippen LN
Clovis, CA 93619-2870
Phone (559) 765-1818

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
123899CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Healing Marriage & Family Therapy CurrentSince Jan 19, 2025 Accepting new patients

Locations

1151 Dove St
Ste 244
Newport Beach, CA 92660
Phone (949) 334-7171

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1376947069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 GLEN KIPPEN LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936192870",
            "telephone_number": "559-765-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 244",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602806",
            "telephone_number": "949-334-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAVID",
        "first_name": "VANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.