Peter Gustav Carlson, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC19950 Issued in CA

Practice address

23210 Crenshaw Blvd Ste 250
Torrance, CA 90505-3180

Phone

(310) 325-8787

Fax

(310) 547-1543

NPI assigned

Feb 27, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710014683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23210 CRENSHAW BLVD STE 250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053180",
            "telephone_number": "310-325-8787",
            "fax_number": "310-547-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23210 CRENSHAW BLVD STE 250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053180",
            "telephone_number": "310-325-8787",
            "fax_number": "310-547-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "PETER",
        "middle_name": "GUSTAV",
        "name_prefix": "Mr.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MF1995000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos a. Smith, M.D, Professional Corporation (Docgo)
• Carlos F Garcia DDS Inc
• Carlos Jordan Manzano MD Inc
• Alexis Michelle Carlos
• Cathleen A Carlson, MFT
• Ursula Carmody
• Dalisha Angel Carmouche
• Viviana Maria Caro- Rodriguez
• Carol Hong Chiropractic Corporation (Whole Health Clinic)
• Robert Antony Caron, BCAT, RBT

• Marriage & Family Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.