Active NPI
Donald Marc Gershberg, MA MFT
- Marriage & Family Therapist
- Los Alamitos, CA
National Provider Identifier
1427135607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 41176
- Practice address
- 4281 Katella Ave
Suite226
Los Alamitos, CA 90720-3500 - Phone
- (818) 203-5531
- Fax
- (323) 478-0299
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 41176 | CA | Primary |
Addresses
Primary practice location
4281 Katella Ave
Suite226
Los Alamitos, CA 90720-3500
Mailing address
1539 W Garvey Ave N
Scpmg
West Covina, CA 91790-2139
Phone (626) 856-3095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 41176 | CA | MD | Marriage & Family Therapist |
| 41176 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1427135607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 W GARVEY AVE N",
"address_2": "SCPMG",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902139",
"telephone_number": "626-856-3095",
"fax_number": "626-856-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4281 KATELLA AVE",
"address_2": "SUITE226",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203500",
"telephone_number": "818-203-5531",
"fax_number": "323-478-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSHBERG",
"first_name": "DONALD",
"middle_name": "MARC",
"name_prefix": "Mr.",
"credential": "MA MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 41176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.