Active NPI
Alexandra Diemer, AMFT
- Marriage & Family Therapist
- Culver City, CA
National Provider Identifier
1831999788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 153345
- Practice address
- 11949 Jefferson Blvd Ste 102
Culver City, CA 90230-6336 - Phone
- (323) 419-2061
- NPI assigned
- Mar 18, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 153345 | CA | Primary |
Addresses
Primary practice location
11949 Jefferson Blvd Ste 102
Culver City, CA 90230-6336
Mailing address
7101 Playa Vista Dr Apt 103
Playa Vista, CA 90094-2238
Phone (626) 633-2587
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
| License | State | Type | Specialty |
|---|---|---|---|
| 153345 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1831999788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 PLAYA VISTA DR APT 103",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942238",
"telephone_number": "626-633-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11949 JEFFERSON BLVD STE 102",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306336",
"telephone_number": "323-419-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEMER",
"first_name": "ALEXANDRA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "153345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.