Active NPI
Ghazaleh Elyaszadeh, LICENSE MFT
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1669994810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 94650 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kohan International Foundation | Marriage & Family Therapist | Past | Accepting new patients |
| Brighter Tomorrow Family Therapy Inc | Marriage & Family Therapist | Past | 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.
-
- Mental Health Counselor
- Culver City, CA
- NPI 1376407841
Marriage & Family Therapist
-
- Marriage & Family Therapist
- Culver City, CA
- NPI 1538424049
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
- Rachel Ann Elsasser, D.O.
- Elsz Medical, Inc., a Professional Corporation
- Rebecca Elyasi
- Navah Nazanin Elyasian, LMFT
- Mary Elyasnik
- Shirley Wintfred Elzinga, D.C., L.AC., CRNA
- Claudia Nazanin Emami, M.D.
- Emana Medical
- Emanuel Gottlieb, DDS Inc, a Professional Dental Corporation
- Embodiment Psychology Group a Professional Corporation
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.