Individual provider Active NPI

Artemis Tegan, LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1972669141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 42001 Issued in CA
Practice address
471 W 7TH St
San Pedro, CA 90731-3207
Phone
(310) 809-2011
Fax
(310) 832-0862
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC 42001 CA Primary

Addresses

Primary practice location

471 W 7TH St
San Pedro, CA 90731-3207

Mailing address

1621 W 25TH St # 221
San Pedro, CA 90732-4301
Phone (310) 809-2011

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

LicenseStateTypeSpecialty
MFC 42001CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972669141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W 25TH ST # 221",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324301",
            "telephone_number": "310-809-2011",
            "fax_number": "310-832-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313207",
            "telephone_number": "310-809-2011",
            "fax_number": "310-832-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGAN",
        "first_name": "ARTEMIS",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.