Individual provider Active NPI

Christian Bracamonte, PSY.D., LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1649677287
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
160679 Issued in CA
Practice address
626 Wilshire Blvd Ste 410-L17
Los Angeles, CA 90017-3209
Phone
(323) 432-0095
NPI assigned
Nov 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 160679 CA Primary

Addresses

Primary practice location

626 Wilshire Blvd Ste 410-L17
Los Angeles, CA 90017-3209

Mailing address

626 Wilshire Blvd Ste 410-L17
Los Angeles, CA 90017-3209
Phone (323) 432-0095

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
160679CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1649677287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 WILSHIRE BLVD STE 410-L17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173209",
            "telephone_number": "323-432-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WILSHIRE BLVD STE 410-L17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173209",
            "telephone_number": "323-432-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACAMONTE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "160679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2026; 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.