Individual provider Active NPI

Eli J Ko

  • Marriage & Family Therapist
  • Placentia, CA
National Provider Identifier
1922364900
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT94549 Issued in CA
Practice address
601 E Yorba Linda Blvd Ste 5C
Placentia, CA 92870-3006
Phone
(714) 869-7025
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 LMFT94549 CA Primary

Addresses

Primary practice location

601 E Yorba Linda Blvd Ste 5C
Placentia, CA 92870-3006

Mailing address

1440 N Harbor Blvd Ste 900
Fullerton, CA 92835-4122
Phone (714) 869-7025

Other practice location 1

1440 Harbor Blvd. Suite 900
Fullerton, CA 92835-4122
Phone (714) 869-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT94549CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1922364900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 900",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354122",
            "telephone_number": "714-869-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD STE 5C",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-869-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Harbor Blvd. Suite 900",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928354122",
            "country_code": "US",
            "telephone_number": "714-869-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "ELI",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT94549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.