Individual provider Active NPI

Martin F Faugno, MSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1881830065
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79317 Issued in CA
Practice address
7003 N Figueroa St
Los Angeles, CA 90042-1247
Phone
(323) 543-2943
Fax
(323) 344-7382
NPI assigned
Dec 18, 2008
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 25423 CA
Mental Health Counselor 101YM0800X ASW65093 CA
Clinical Social Worker 1041C0700X 79317 CA Primary

Addresses

Primary practice location

7003 N Figueroa St
Los Angeles, CA 90042-1247

Mailing address

7003 N Figueroa St Oyhfs
Los Angeles, CA 90042-1247
Phone (323) 543-2943

Other identifiers 1

IdentifierTypeStateIssuer
79317OtherCASOCIAL WORK

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

LicenseStateTypeSpecialty
ASW65093CAMDMental Health Counselor
25423CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1881830065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 N FIGUEROA ST OYHFS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421247",
            "telephone_number": "323-543-2943",
            "fax_number": "323-344-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421247",
            "telephone_number": "323-543-2943",
            "fax_number": "323-344-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGNO",
        "first_name": "MARTIN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "25423",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW65093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "79317",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.