Active NPI
Adam Claude Welles
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1679055255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT115193
- Practice address
- 11303 Wilshire Blvd
VA BLDG 116
Los Angeles, CA 90073-1003 - Phone
- (310) 914-4045
- NPI assigned
- Aug 30, 2018
- Sex
- Male
- 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 | AMFT115193 | CA | Primary |
Addresses
Primary practice location
11303 Wilshire Blvd
VA BLDG 116
Los Angeles, CA 90073-1003
Mailing address
11303 Wilshire Blvd
VA BLDG 116
Los Angeles, CA 90073-1003
Phone (310) 914-4045
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 |
|---|---|---|---|
| AMFT115193 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1679055255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11303 WILSHIRE BLVD",
"address_2": "VA BLDG 116",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-914-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11303 WILSHIRE BLVD",
"address_2": "VA BLDG 116",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-914-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLES",
"first_name": "ADAM",
"middle_name": "CLAUDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-30",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT115193",
"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 Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.