Individual provider Active NPI

Haydeh Pirnazar

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1447892245
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110875 Issued in CA
Practice address
1426 Aviation Blvd Ste 103
Redondo Beach, CA 90278-4061
Phone
(310) 372-4245
Fax
(310) 372-2703
NPI assigned
Oct 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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 110875 CA Primary

Addresses

Primary practice location

1426 Aviation Blvd Ste 103
Redondo Beach, CA 90278-4061

Mailing address

PO Box 4474
Palos Verdes Peninsula, CA 90274-9598
Phone (310) 683-2268

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
110875CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Counselors & Therapists Marriage & Family Therapist PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1447892245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4474",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749598",
            "telephone_number": "310-683-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD STE 103",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784061",
            "telephone_number": "310-372-4245",
            "fax_number": "310-372-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRNAZAR",
        "first_name": "HAYDEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.