Individual provider Active NPI

Erik Allan Edler, LMFT

  • Marriage & Family Therapist
  • Seal Beach, CA
National Provider Identifier
1710022900
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37381 Issued in CA
Practice address
610 Pacific Coast Hwy
Suite 205
Seal Beach, CA 90740-6604
Phone
(949) 735-1725
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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 MFC37381 CA Primary

Addresses

Primary practice location

610 Pacific Coast Hwy
Suite 205
Seal Beach, CA 90740-6604

Mailing address

2215 E 2ND St
Apartment 14
Long Beach, CA 90803-5195
Phone (562) 343-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37381CAMDMarriage & Family Therapist
37381CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1710022900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E 2ND ST",
            "address_2": "APARTMENT 14",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035195",
            "telephone_number": "562-343-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY",
            "address_2": "SUITE 205",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406604",
            "telephone_number": "949-735-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLER",
        "first_name": "ERIK",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.