Organization Active NPI

Ana Santaolalla, Licensed Marriage and Family Therapy

Doing business as Bridge Therapy Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1588448377
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ANA SANTAOLALLA, LICENSED MARRIAGE AND FAMILY THERAPY
Doing business as
Bridge Therapy Group
Practice address
1551 Colorado Blvd Ste 206
Los Angeles, CA 90041-1496
Phone
(323) 646-6094
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Ana Santaolalla, MFTNPI 1710252531
Title
Therapist
Phone
(323) 646-6094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1551 Colorado Blvd Ste 206
Los Angeles, CA 90041-1496

Mailing address

1551 Colorado Blvd Ste 206
Los Angeles, CA 90041-1496
Phone (323) 646-6094

Other names 1

  • Bridge Therapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

1551 Colorado Blvd
Ste 206
Los Angeles, CA 90041
Phone (310) 490-5989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1588448377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 COLORADO BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411496",
            "telephone_number": "323-646-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 COLORADO BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411496",
            "telephone_number": "323-646-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA SANTAOLALLA, LICENSED MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTAOLALLA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "323-646-6094",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.