Active NPI
Islah Moharram
- Marriage & Family Therapist
- Santa Barbara, CA
National Provider Identifier
1689748048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 43274
- Practice address
- 2034 De la Vina St
Santa Barbara, CA 93105-3814 - Phone
- (805) 884-6850
- NPI assigned
- Nov 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 43274 | CA | Primary |
Addresses
Primary practice location
2034 De la Vina St
Santa Barbara, CA 93105-3814
Mailing address
5043 Walnut Park Dr
Santa Barbara, CA 93111-1837
Phone (805) 884-6850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43274 | Other | CA | MFT |
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 |
|---|---|---|---|
| 43274 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1689748048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5043 WALNUT PARK DR",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931111837",
"telephone_number": "805-884-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 DE LA VINA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053814",
"telephone_number": "805-884-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHARRAM",
"first_name": "ISLAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "43274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT",
"identifier": "43274",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.