Active NPI
Justin Yaros, LMFT
- Marriage & Family Therapist
- Manhattan Beach, CA
National Provider Identifier
1740745793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT92508
- Practice address
- 500 S Sepulveda Blvd Ste 204
Manhattan Beach, CA 90266-6976 - Phone
- (424) 209-8810
- NPI assigned
- Feb 4, 2019
- Last updated
- Feb 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT92508 | CA | Primary |
Addresses
Primary practice location
500 S Sepulveda Blvd Ste 204
Manhattan Beach, CA 90266-6976
Mailing address
500 S Sepulveda Blvd Ste 204
Manhattan Beach, CA 90266-6976
Phone (424) 209-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 8, 2025 through Apr 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92508 | CA | MD | Clinical Social Worker |
| LMFT92508 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1740745793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S SEPULVEDA BLVD STE 204",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666976",
"telephone_number": "424-209-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S SEPULVEDA BLVD STE 204",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666976",
"telephone_number": "424-209-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAROS",
"first_name": "JUSTIN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT92508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.