Individual provider Active NPI

John Adam Muntner, MFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1922346683
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52793 Issued in CA
Practice address
2901 Ocean Park Blvd
#126
Santa Monica, CA 90405-2919
Phone
(310) 399-4043
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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 52793 CA Primary

Addresses

Primary practice location

2901 Ocean Park Blvd
#126
Santa Monica, CA 90405-2919

Mailing address

10736 Jefferson Blvd
#878
Culver City, CA 90230-4933
Phone (323) 459-2383

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

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1922346683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD",
            "address_2": "#878",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "323-459-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OCEAN PARK BLVD",
            "address_2": "#126",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052919",
            "telephone_number": "310-399-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTNER",
        "first_name": "JOHN",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.