Individual provider Active NPI

Justin Natoli

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1699254466
Registry record updated Aug 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
88839 Issued in CA
Practice address
822 S Robertson Blvd Ste 303
Los Angeles, CA 90035-1632
Phone
(310) 508-2590
NPI assigned
Aug 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 88839 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 303
Los Angeles, CA 90035-1632

Mailing address

4020 Olmsted Ave
Los Angeles, CA 90008-2628
Phone (310) 508-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Natoli, Licensed Marriage and Family Therapist Inc. Marriage & Family Therapist CurrentSince Oct 1, 2019 Accepting new patients

Locations

822 S Robertson Blvd
Ste 303
Los Angeles, CA 90035
Phone (310) 288-1110

Organizations & group practices 1

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": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534032000000",
    "number": "1699254466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 OLMSTED AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082628",
            "telephone_number": "310-508-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351632",
            "telephone_number": "310-508-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATOLI",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-12",
        "last_updated": "2018-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.