Active NPI
Elissa Bauman
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1487083085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 73300
- Practice address
- 3580 Wilshire Blvd
800
Los Angeles, CA 90010-2501 - Phone
- (818) 621-5894
- NPI assigned
- Nov 4, 2013
- 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 | IMF 73300 | CA | Primary |
Addresses
Primary practice location
3580 Wilshire Blvd
800
Los Angeles, CA 90010-2501
Mailing address
3580 Wilshire Blvd
800
Los Angeles, CA 90010-2501
Phone (818) 621-5894
Other names 1
- Elissa Rosner
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 |
|---|---|---|---|
| IMF 73300 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1487083085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD",
"address_2": "800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102501",
"telephone_number": "818-621-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD",
"address_2": "800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102501",
"telephone_number": "818-621-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "ELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 73300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISSA",
"last_name": "ROSNER",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.