Individual provider Active NPI

Saba Montazerian, MA

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1902367758
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001268 Issued in IL
Practice address
1100 Quail St Ste 206
Newport Beach, CA 92660-2782
Phone
(949) 229-0567
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 166.001268 IL Primary

Addresses

Primary practice location

1100 Quail St Ste 206
Newport Beach, CA 92660-2782

Mailing address

1100 Quail St Ste 206
Newport Beach, CA 92660-2782
Phone (949) 229-0567

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
166.001268ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edelweiss Individual and Family Therapy Current Accepting new patients

Locations

1100 Quail St
Ste 206
Newport Beach, CA 92660
Phone (949) 229-0567

Organizations & group practices 1

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1902367758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST STE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602782",
            "telephone_number": "949-229-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST STE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602782",
            "telephone_number": "949-229-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZERIAN",
        "first_name": "SABA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.