Individual provider Active NPI

Parisa Asadnejad

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1821464025
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94272 Issued in CA
Practice address
13064 Thicket PL
Corona, CA 92883-6347
Phone
(925) 336-7913
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 94272 CA Primary

Addresses

Primary practice location

13064 Thicket PL
Corona, CA 92883-6347

Mailing address

13064 Thicket PL
Corona, CA 92883-6347
Phone (925) 336-7913

Other practice location 1

36901 Spruce St
Newark, CA 94560-2719
Phone (510) 456-5604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711000994 CA Order and Referring Only - Marriage and Family Therapist 2860937190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94272CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Horizons Therapy CurrentSince Jun 8, 2025 Accepting new patients
East Bay Agency for Children Past Accepting new patients
Felton Institute PastSince Aug 1, 2019 Accepting new patients
Felton Institute PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1821464025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13064 THICKET PL",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836347",
            "telephone_number": "925-336-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13064 THICKET PL",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836347",
            "telephone_number": "925-336-7913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36901 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "CA",
            "postal_code": "945602719",
            "country_code": "US",
            "telephone_number": "510-456-5604",
            "fax_number": "510-485-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASADNEJAD",
        "first_name": "PARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.