Diane Bagatourian, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

91229 Issued in CA

Practice address

5762 Ravenspur Dr
#414
Rancho Palos Verdes, CA 90275-3570

Phone

(310) 344-1550

Fax

(310) 715-1295

NPI assigned

Mar 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 1, 2025 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Clear Recovery Center, LLC

  • Community/Behavioral Health Agency
  • Torrance, CA
  • NPI 1386274108
  NPD (past)
• Clear Recovery Center, LLC

  • Community/Behavioral Health Agency
  • Redondo Beach, CA
  • NPI 1982072195
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1891967394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46E PENINSULA CTR # 141",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506",
            "telephone_number": "310-344-1550",
            "fax_number": "310-715-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 RAVENSPUR DR",
            "address_2": "#414",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753570",
            "telephone_number": "310-344-1550",
            "fax_number": "310-715-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18123 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90504",
            "country_code": "US",
            "telephone_number": "877-799-1985",
            "fax_number": "866-899-1638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGATOURIAN",
        "first_name": "DIANE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenida Villa, Inc.
• Kendall Awshee
• B. L. Montgomery M.D., Inc
• Back in Motion Therapy Inc.
• Nicolle Laurene Bada, RD
• Belinda Cortes Bautista, RDH
• Ben Zandpour MD Inc
• Hind Bennani, DPM
• John Anthony Berkovich Sr., PT
• Madhu Berman, M.D.

• Marriage & Family Therapist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.