Individual provider Active NPI

Mauro Ferrero, PH.D.

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1639243017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36935 Issued in CA
Practice address
1145 Gayley Ave
Suite 322
Los Angeles, CA 90024-3423
Phone
(323) 623-9141
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC36935 CA Primary

Addresses

Primary practice location

1145 Gayley Ave
Suite 322
Los Angeles, CA 90024-3423

Mailing address

1145 Gayley Ave
Suite 322
Los Angeles, CA 90024-3423
Phone (323) 623-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC36935CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639243017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 GAYLEY AVE",
            "address_2": "SUITE 322",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243423",
            "telephone_number": "323-623-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 GAYLEY AVE",
            "address_2": "SUITE 322",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243423",
            "telephone_number": "323-623-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRERO",
        "first_name": "MAURO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.