Individual provider Active NPI

Nina Ashrafzadeh, PSY.D., LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1386830305
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142779 Issued in CA
Practice address
302 W 5TH St Ste 308
San Pedro, CA 90731-2750
Phone
(424) 570-6955
NPI assigned
Sep 24, 2007
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 142779 CA Primary

Addresses

Primary practice location

302 W 5TH St Ste 308
San Pedro, CA 90731-2750

Mailing address

471 W 7TH St
San Pedro, CA 90731-3207
Phone (424) 287-7628

Other practice location 1

3815 Atlantic Ave Ste 6
Long Beach, CA 90807-3500
Phone (323) 999-4638

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
142779CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Counseling, Consulting & Treatment Services, PC CurrentSince May 7, 2024 Accepting new patients
Salt Marriage and Family Therapy Inc Marriage & Family Therapist Past Accepting new patients
County of Orange Past Accepting new patients
County of Orange Past Accepting new patients

Locations

302 W 5th St
Ste 308
San Pedro, CA 90731
Phone (424) 570-6955

Organizations & group practices 4

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1386830305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313207",
            "telephone_number": "424-287-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST STE 308",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312750",
            "telephone_number": "424-570-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 Atlantic Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073500",
            "country_code": "US",
            "telephone_number": "323-999-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHRAFZADEH",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.