Individual provider Active NPI

Fatemeh Farahan, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1679783880
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC33640 Issued in CA
Practice address
10350 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-5075
Phone
(310) 962-5935
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 MFC33640 CA Primary

Addresses

Primary practice location

10350 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-5075

Mailing address

10790 Wilshire Blvd
Apt. 1002
Los Angeles, CA 90024-4460
Phone (310) 535-1398

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
MFC33640CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Think and Be Treatment Center Current Accepting new patients
Flourish Well Family Therapy Marriage & Family Therapist Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679783880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 WILSHIRE BLVD",
            "address_2": "APT. 1002",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244460",
            "telephone_number": "310-535-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 SANTA MONICA BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255075",
            "telephone_number": "310-962-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHAN",
        "first_name": "FATEMEH",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33640",
            "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 Jul 21, 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.