Individual provider Active NPI

Brian Xavier Dunphey

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1982126058
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96483 Issued in CA
Practice address
1271 Ozeta Ter
Los Angeles, CA 90069-1835
Phone
(949) 293-6725
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 96483 CA Primary

Addresses

Primary practice location

1271 Ozeta Ter
Los Angeles, CA 90069-1835

Mailing address

1271 Ozeta Ter
Los Angeles, CA 90069-1835
Phone (949) 293-6725

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
96483CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Dunphey Marriage & Family Therapy Inc Marriage & Family Therapist CurrentSince Apr 16, 2023 Accepting new patients
Brian Dunphey PastSince Jan 10, 2019 Accepting new patients

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1982126058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 OZETA TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900691835",
            "telephone_number": "949-293-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 OZETA TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900691835",
            "telephone_number": "949-293-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNPHEY",
        "first_name": "BRIAN",
        "middle_name": "XAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.