Individual provider Active NPI

Charvi Bhasin Bastio, AMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1427860360
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149910 Issued in CA
Practice address
2009 Palo Verde Ave
Long Beach, CA 90815-3322
Phone
(714) 482-3414
NPI assigned
Jan 27, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 149910 CA Primary

Addresses

Primary practice location

2009 Palo Verde Ave
Long Beach, CA 90815-3322

Mailing address

4016 Grand Ave
Suite a #1005
Chino, CA 91710
Phone (949) 316-7800

Other names 1

  • Charvi Bhasin Former name

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
149910CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1427860360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 GRAND AVE",
            "address_2": "SUITE A #1005",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "949-316-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 PALO VERDE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153322",
            "telephone_number": "714-482-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIO",
        "first_name": "CHARVI",
        "middle_name": "BHASIN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARVI",
            "last_name": "BHASIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.