Individual provider Active NPI

Julia Gallucci

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1710628524
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT119758 Issued in CA
Practice address
3273 Casitas Ave Ste 107
Los Angeles, CA 90039-2205
Phone
(213) 545-1357
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 AMFT119758 CA Primary

Addresses

Primary practice location

3273 Casitas Ave Ste 107
Los Angeles, CA 90039-2205

Mailing address

3273 Casitas Ave Ste 107
Los Angeles, CA 90039-2205
Phone (213) 545-1357

Other practice location 1

3401 Glendale Blvd Ste B
Los Angeles, CA 90039-1814
Phone (213) 545-1357

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
AMFT119758CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1710628524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 CASITAS AVE STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392205",
            "telephone_number": "213-545-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 CASITAS AVE STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392205",
            "telephone_number": "213-545-1357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Glendale Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900391814",
            "country_code": "US",
            "telephone_number": "213-545-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT119758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.