Individual provider Active NPI

Gabriel Lanum, LMFT

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1629682505
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT369476 Issued in CA
Practice address
212 N Catalina Ave Apt a
Redondo Beach, CA 90277-2853
Phone
(424) 241-2838
NPI assigned
Sep 8, 2020
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 LMFT369476 CA Primary

Addresses

Primary practice location

212 N Catalina Ave Apt a
Redondo Beach, CA 90277-2853

Mailing address

212 N Catalina Ave Apt a
Redondo Beach, CA 90277-2853
Phone (310) 422-9435

Other practice location 1

225 Avenue I Ste 204
Redondo Beach, CA 90277-5608
Phone (424) 241-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102000035 CA Practitioner - Marriage and Family Therapist 6800246000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

212 N Catalina Ave
Apt a
Redondo Beach, CA 90277-2853
Phone (424) 241-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
137616CAMDClinical Social Worker
LMFT369476CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel Lanum Licensed Marriage & Family Therapy Inc Marriage & Family Therapist CurrentSince May 15, 2024 Accepting new patients
Action Orthopedic Company, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

318 Avenue I
Redondo Beach, CA 90277
Phone (310) 339-3822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1629682505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N CATALINA AVE APT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772853",
            "telephone_number": "310-422-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N CATALINA AVE APT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772853",
            "telephone_number": "424-241-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Avenue I Ste 204",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902775608",
            "country_code": "US",
            "telephone_number": "424-241-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANUM",
        "first_name": "GABRIEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT369476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.