Active NPI
Darryl Andrews
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1417085879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF67568
- Practice address
- 1200 Wilshire Blvd
Los Angeles, CA 90017-1908 - Phone
- (213) 481-7464
- Fax
- (213) 481-7147
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | IMF67568 | CA | Primary |
Addresses
Primary practice location
1200 Wilshire Blvd
Los Angeles, CA 90017-1908
Mailing address
1200 Wilshire Blvd
Los Angeles, CA 90017-1908
Phone (213) 481-7464
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF67568 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1417085879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171908",
"telephone_number": "213-481-7464",
"fax_number": "213-481-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171908",
"telephone_number": "213-481-7464",
"fax_number": "213-481-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "DARRYL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF67568",
"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 Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.