Dana Garner Bath, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

121633 Issued in CA

Practice address

11949 Jefferson Blvd Ste 106
Culver City, CA 90230-6336

Phone

(213) 375-4791

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1417590761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 VICTORIA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914835",
            "telephone_number": "323-252-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 JEFFERSON BLVD STE 106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306336",
            "telephone_number": "213-375-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATH",
        "first_name": "DANA",
        "middle_name": "GARNER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gabriella Barron
• Rayhanatou Barry
• Jan Mark Atis Bartolome
• Tamarin Bastian
• David Bates
• Emelyn Isabel Batres
• Jesus Batres
• Leslie Batts
• Curtis W Baumgartner, L.AC.
• Roxana Bautista Laredo

• Marriage & Family Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.