Individual provider Active NPI

Vicki Kraft

  • Marriage & Family Therapist
  • Manhattan Beach, CA
National Provider Identifier
1629455639
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC83786 Issued in CA
Practice address
2100 N Sepulveda Blvd Ste 35
Manhattan Beach, CA 90266-2958
Phone
(310) 413-4803
Fax
(310) 545-4092
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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 MFC83786 CA Primary

Addresses

Primary practice location

2100 N Sepulveda Blvd Ste 35
Manhattan Beach, CA 90266-2958

Mailing address

2100 N Sepulveda Blvd Ste 35
Manhattan Beach, CA 90266-2958
Phone (310) 413-4803

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
MFC83786CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1629455639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD STE 35",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662958",
            "telephone_number": "310-413-4803",
            "fax_number": "310-545-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD STE 35",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662958",
            "telephone_number": "310-413-4803",
            "fax_number": "310-545-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC83786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.