Individual provider Active NPI

Justin Yaros, LMFT

  • Marriage & Family Therapist
  • Manhattan Beach, CA
National Provider Identifier
1740745793
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT92508 Issued in CA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 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

LicenseStateTypeSpecialty
92508CAMDClinical Social Worker
LMFT92508CAMDMarriage & 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

Verify at the official NPI Registry.