Eric Paulson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87238 Issued in CA

Practice address

1210 Victoria Ave
Venice, CA 90291-4023

Phone

(310) 882-6479

NPI assigned

Sep 17, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1467068353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 GRAND BLVD UNIT 131",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902943207",
            "telephone_number": "310-882-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 VICTORIA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914023",
            "telephone_number": "310-882-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Maria Starlight Parsons, M.S. CCC/SLP
• Susan Mojdeh Partovi, M.D.
• Passages Malibu PHP, LLC (Passages Venice)
• Rutambhar Patel, D.C.
• Oshgene Patterson
• Joel Perez Jr.
• Victor Hugo Perez, M.D.
• Lea Nicole Perry, LMFT
• Stanley Carl Perryman II, AOD COUNSELOR
• Mandy Christina Pfaff, MFT

• Marriage & Family Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.