Active NPI
Roxana Karimi
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1669740940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97749
- Practice address
- 3089 S Harbor Blvd
Santa Ana, CA 92704-6448 - Phone
- (818) 636-9976
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 97749 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 74153 | CA |
Addresses
Primary practice location
3089 S Harbor Blvd
Santa Ana, CA 92704-6448
Mailing address
15775 Laguna Canyon Rd Ste 140
Irvine, CA 92618-3190
Phone (818) 636-9976
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74153 | CA | MD | Mental Health Counselor |
| 97749 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Altadena, CA
- NPI 1568039709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1669740940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15775 LAGUNA CANYON RD STE 140",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183190",
"telephone_number": "818-636-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3089 S HARBOR BLVD",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046448",
"telephone_number": "818-636-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARIMI",
"first_name": "ROXANA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97749",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "74153",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.