Individual provider Active NPI

Ghazal Lovely Abbas, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1497266274
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
127592 Issued in CA
Practice address
1019 Gayley Ave FL 2
Los Angeles, CA 90024-3437
Phone
(424) 273-8900
NPI assigned
Oct 19, 2017
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 127592 CA Primary

Addresses

Primary practice location

1019 Gayley Ave FL 2
Los Angeles, CA 90024-3437

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Other practice location 1

2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382
Phone (650) 372-4080

Other practice location 2

15116 S Gibson Ave
East Rancho Dominguez, CA 90221-3106
Phone (323) 242-5000

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
127592CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1497266274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900",
            "fax_number": "650-393-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GAYLEY AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243437",
            "telephone_number": "424-273-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 S El Camino Real Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944032382",
            "country_code": "US",
            "telephone_number": "650-372-4080",
            "fax_number": "855-400-9662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15116 S Gibson Ave",
            "address_purpose": "LOCATION",
            "city": "East Rancho Dominguez",
            "state": "CA",
            "postal_code": "902213106",
            "country_code": "US",
            "telephone_number": "323-242-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "GHAZAL",
        "middle_name": "LOVELY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127592",
            "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 Oct 6, 2023; 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.