Individual provider Active NPI

Leila Elvira Augusto Da Costa

  • Marriage & Family Therapist
  • Studio City, CA
National Provider Identifier
1427428671
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89111 Issued in CA
Practice address
11818 Moorpark St Unit E
Studio City, CA 91604-2161
Phone
(818) 738-9920
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 89111 CA Primary

Addresses

Primary practice location

11818 Moorpark St Unit E
Studio City, CA 91604-2161

Mailing address

11818 Moorpark St Unit E
Studio City, CA 91604-2161
Phone (818) 738-9920

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
89111CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1427428671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 MOORPARK ST UNIT E",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042161",
            "telephone_number": "818-738-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 MOORPARK ST UNIT E",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042161",
            "telephone_number": "818-738-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTO DA COSTA",
        "first_name": "LEILA ELVIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.