Individual provider Active NPI

Bradford Lee Durian, MA, LMFT

  • Marriage & Family Therapist
  • Covina, CA
National Provider Identifier
1861601148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 39146 Issued in CA
Practice address
1406 N Grand Ave Apt L
Covina, CA 91724-1060
Phone
(626) 915-7917
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LMFT 39146 CA Primary

Addresses

Primary practice location

1406 N Grand Ave Apt L
Covina, CA 91724-1060

Mailing address

1406 N Grand Ave Apt L
Covina, CA 91724-1060
Phone (626) 915-7917

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
I20240327002703 CA Practitioner - Marriage and Family Therapist 7911344890 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT 39146CAMDMarriage & Family Therapist
39146CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Behavioral Health, a Psychological Corporation CurrentSince Mar 1, 2025 Accepting new patients
Cyti Health PC CurrentSince Feb 13, 2024 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

5901 Encina Rd
Ste A
Santa Barbara, CA 93117
Phone (805) 681-0035

Organizations & group practices 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861601148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N GRAND AVE APT L",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241060",
            "telephone_number": "626-915-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N GRAND AVE APT L",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241060",
            "telephone_number": "626-915-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIAN",
        "first_name": "BRADFORD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 39146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.