Active NPI
Amber Hasbun
- Marriage & Family Therapist
- Cerritos, CA
National Provider Identifier
1871873372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97297
- Practice address
- 12900 Park Plaza Dr
Cerritos, CA 90703-9329 - Phone
- (562) 467-5429
- NPI assigned
- Aug 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 97297 | CA | Primary |
Addresses
Primary practice location
12900 Park Plaza Dr
Cerritos, CA 90703-9329
Mailing address
10162 Lady Bess Way
San Diego, CA 92126-3511
Phone (818) 212-3233
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 |
|---|---|---|---|
| 97297 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Second Chance Program | Past | Accepting new patients | |
| San Diego Second Chance Program | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1053139394
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1477044709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1871873372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10162 LADY BESS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921263511",
"telephone_number": "818-212-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "562-467-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASBUN",
"first_name": "AMBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-28",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.