Individual provider Active NPI

Kurt L Kozma, LMFT

  • Marriage & Family Therapist
  • Beaumont, CA
National Provider Identifier
1730341728
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC23650 Issued in CA
Practice address
514 N California Ave
Suite 4
Beaumont, CA 92223-2113
Phone
(909) 838-6981
Fax
(909) 614-7421
NPI assigned
Jun 30, 2008
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 MFC23650 CA Primary

Addresses

Primary practice location

514 N California Ave
Suite 4
Beaumont, CA 92223-2113

Mailing address

17663 Colonial CT
Chino Hills, CA 91709-4562
Phone (909) 838-6981

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
MFC23650CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1730341728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17663 COLONIAL CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094562",
            "telephone_number": "909-838-6981",
            "fax_number": "909-614-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N CALIFORNIA AVE",
            "address_2": "SUITE 4",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232113",
            "telephone_number": "909-838-6981",
            "fax_number": "909-614-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZMA",
        "first_name": "KURT",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC23650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.