Active NPI
Jonathan Baker
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1447733134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 3580 Wilshire Blvd Ste 800
Los Angeles, CA 90010 - Phone
- (323) 876-0550
- NPI assigned
- Sep 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 107685 | CA | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3580 Wilshire Blvd Ste 800
Los Angeles, CA 90010
Mailing address
3580 Wilshire Blvd Ste 800
Los Angeles, CA 90010-2505
Phone (323) 876-0550
Other practice location 1
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 399-3480 ext. 118
Other practice location 2
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 399-3480 ext. 118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107685 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1447733134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD STE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102505",
"telephone_number": "323-876-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD STE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90010",
"telephone_number": "323-876-0550"
}
],
"practiceLocations": [
{
"address_1": "1855 W Katella Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928673432",
"country_code": "US",
"telephone_number": "714-399-3480 x118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1855 W Katella Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928673432",
"country_code": "US",
"telephone_number": "714-399-3480 x118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "107685",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"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 Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.