Individual provider Active NPI

Elizabeth H Marushin, MFT

  • Marriage & Family Therapist
  • Hermosa Beach, CA
National Provider Identifier
1710202957
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48097 Issued in CA
Practice address
3201 Pacific Coast Hwy
Suite C
Hermosa Beach, CA 90254-2200
Phone
(310) 987-9511
Fax
(310) 372-0117
NPI assigned
Mar 31, 2010
Last updated
Mar 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 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 MFC 48097 CA Primary

Addresses

Primary practice location

3201 Pacific Coast Hwy
Suite C
Hermosa Beach, CA 90254-2200

Mailing address

3201 Pacific Coast Hwy
Suite C
Hermosa Beach, CA 90254-2200
Phone (310) 987-9511

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
MFC 48097CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1710202957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PACIFIC COAST HWY",
            "address_2": "SUITE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542200",
            "telephone_number": "310-987-9511",
            "fax_number": "310-372-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PACIFIC COAST HWY",
            "address_2": "SUITE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542200",
            "telephone_number": "310-987-9511",
            "fax_number": "310-372-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSHIN",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.