Individual provider Active NPI

Vasavi Charathram, LMFT

  • Marriage & Family Therapist
  • San Dimas, CA
National Provider Identifier
1962934398
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97515 Issued in CA
Practice address
150 W Foothill Blvd Unit D
San Dimas, CA 91773-1103
Phone
(626) 803-3948
Fax
(626) 714-6096
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 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 97515 CA Primary

Addresses

Primary practice location

150 W Foothill Blvd Unit D
San Dimas, CA 91773-1103

Mailing address

PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165

Other practice location 1

415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone (626) 803-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000512 CA Practitioner - Marriage and Family Therapist 0244678126 Reassigns benefits to 1 organization
Practice locations: Glendora, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 W Route 66
Suite 202
Glendora, CA 91740-4335
Phone (626) 963-4467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vasavi Charathram Family Counseling, a Professional Corporation CurrentSince Oct 5, 2025 Accepting new patients

Locations

150 W Foothill Blvd
Unit D
San Dimas, CA 91773
Phone (626) 803-3948

Organizations & group practices 2

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1962934398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD UNIT D",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731103",
            "telephone_number": "626-803-3948",
            "fax_number": "626-714-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Route 66 Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917404335",
            "country_code": "US",
            "telephone_number": "626-803-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARATHRAM",
        "first_name": "VASAVI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.