Active NPI
Antonia Cardona, AMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1437707585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77431
- Practice address
- 1081 Westwood Blvd Ste 234
Los Angeles, CA 90024-2931 - Phone
- (424) 226-6039
- NPI assigned
- Sep 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 77431 | CA | Primary |
Addresses
Primary practice location
1081 Westwood Blvd Ste 234
Los Angeles, CA 90024-2931
Mailing address
4810 Hollow Corner Rd Unit 243
Culver City, CA 90230-8599
Phone (818) 357-4712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 18, 2024 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77431 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567382400000",
"number": "1437707585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 HOLLOW CORNER RD UNIT 243",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902308599",
"telephone_number": "818-357-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 WESTWOOD BLVD STE 234",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242931",
"telephone_number": "424-226-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "ANTONIA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-02",
"last_updated": "2019-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77431",
"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 Sep 2, 2019; 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.