Individual provider Active NPI

Ghazaleh Elyaszadeh, LICENSE MFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1669994810
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94650 Issued in CA
Practice address
9100 Wilshire Blvd Ste 844W
Beverly Hills, CA 90212-3464
Phone
(310) 801-0949
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 94650 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 844W
Beverly Hills, CA 90212-3464

Mailing address

2355 Westwood Blvd Ste 575
Los Angeles, CA 90064-2109

Other practice location 1

5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569
Phone (424) 331-9070

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
94650CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kohan International Foundation Marriage & Family Therapist PastSince Mar 27, 2015 Accepting new patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist PastSince Dec 14, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1669994810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD STE 575",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 844W",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123464",
            "telephone_number": "310-801-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 W Slauson Ave Ste 192",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306569",
            "country_code": "US",
            "telephone_number": "424-331-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELYASZADEH",
        "first_name": "GHAZALEH",
        "credential": "LICENSE MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.