Active NPI
Jodie Shurtleff
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1942766548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 127617
- Practice address
- 801 S Grand Ave
Los Angeles, CA 90017-4613 - Phone
- (323) 508-1202
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 127617 | CA | Primary |
Addresses
Primary practice location
801 S Grand Ave
Los Angeles, CA 90017-4613
Mailing address
PO Box 895
Lakewood, CA 90714-0895
Phone (323) 508-1202
Other practice location 1
17800 Woodruff Ave Ste F
Bellflower, CA 90706-7080
Phone (562) 866-8956 ext. 32350
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127617 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1942766548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 895",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907140895",
"telephone_number": "323-508-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174613",
"telephone_number": "323-508-1202"
}
],
"practiceLocations": [
{
"address_1": "17800 Woodruff Ave Ste F",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907067080",
"country_code": "US",
"telephone_number": "562-866-8956 x32350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHURTLEFF",
"first_name": "JODIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "127617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Shuo S. Wang M.D. Inc.
- Shura a Moreno MD
- Philip A Shura Jr., AU.D.
- Caitlin Shureb, PA-C
- Brett David Shurman, M.D.
- Yakov Shusterman, LICENCED THERAPIST
- John Wilson Shustitzky, PH.D.
- Vladislav Shut, D.P.T.
- Shutes & Lee, Inc (Shutes & Lee Adult Group Home # 1)
- Shutes & Lee, Inc (Shutes & Lee Adult Group Home # 2)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.