Individual provider Active NPI

Bernadet Yaghobian

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1467995449
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89372 Issued in CA
Practice address
2116 Arlington Ave Ste 100
Los Angeles, CA 90018
Phone
(323) 334-9000
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 89372 CA Primary

Addresses

Primary practice location

2116 Arlington Ave Ste 100
Los Angeles, CA 90018

Mailing address

2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353
Phone (323) 334-9000

Other practice location 1

1545 Amherst Ave
apt 205
Los Angeles, CA 90025-3635
Phone (949) 510-5122

Other practice location 2

1776 N Highland Ave
Los Angeles, CA 90028-4404
Phone (424) 281-6143

Other practice location 3

1776 N Highland Ave
Los Angeles, CA 90028-4404
Phone (424) 281-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129002073 CA Practitioner - Marriage and Family Therapist 0345779765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Jan 23, 2025 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1467995449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181353",
            "telephone_number": "323-334-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90018",
            "telephone_number": "323-334-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Amherst Ave",
            "address_2": "apt 205",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900253635",
            "country_code": "US",
            "telephone_number": "949-510-5122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900284404",
            "country_code": "US",
            "telephone_number": "424-281-6143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900284404",
            "country_code": "US",
            "telephone_number": "424-281-6143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAGHOBIAN",
        "first_name": "BERNADET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.