Active NPI
Amanda Cavan
- Marriage & Family Therapist
- Manhattan Beach, CA
National Provider Identifier
1588057095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85653
- Practice address
- 1050 Duncan Ave Ste K
Manhattan Beach, CA 90266-6752 - Phone
- (310) 754-9954
- NPI assigned
- Mar 8, 2015
- Last updated
- Mar 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 85653 | CA | Primary |
Addresses
Primary practice location
1050 Duncan Ave Ste K
Manhattan Beach, CA 90266-6752
Mailing address
1050 Duncan Ave Ste K
Manhattan Beach, CA 90266-6752
Phone (310) 754-9954
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 |
|---|---|---|---|
| 85653 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425772800000",
"number": "1588057095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 DUNCAN AVE STE K",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666752",
"telephone_number": "310-754-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DUNCAN AVE STE K",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666752",
"telephone_number": "310-754-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAN",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-08",
"last_updated": "2015-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
- Capitol Medical Supply Inc (Capitol Medical)
- Carol Frey M.D., Inc
- Carol L. Meylan
- Carmen B Castillo, DDS
- Lisbeth Angelica Castillo, BCBA
- Center for Behavior Analysis & Language Development
- Center for Behavior Analysis and Language Development
- Center for Restorative Procedures and Surgery Inc
- Jose L Cervantes, MD
- Chan Diep OD Inc (Leaf Optometry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.