Active NPI
Parisa Asadnejad
- Marriage & Family Therapist
- Corona, CA
National Provider Identifier
1821464025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94272
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240711000994 | CA | Order and Referring Only - Marriage and Family Therapist | 2860937190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94272 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Horizons Therapy | Current | Accepting new patients | |
| East Bay Agency for Children | Past | Accepting new patients | |
| Felton Institute | Past | Accepting new patients | |
| Felton Institute | Past | 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.
-
- Community/Behavioral Health Agency
- Corona, CA
- NPI 1538053566
-
- Community/Behavioral Health Agency
- Newark, CA
- NPI 1356776876
-
dba Behavioral Health Bridge Housing at Arrowood - Felton
- Community/Behavioral Health Agency
- Santa Rosa, CA
- NPI 1083423545
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1396896122
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.