Individual provider Active NPI

Ladan H Safvati

  • Marriage & Family Therapist
  • Tarzana, CA
National Provider Identifier
1992961536
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51144 Issued in CA
Practice address
18345 Ventura Blvd Ste 507
Tarzana, CA 91356-4245
Phone
(310) 383-5654
Fax
(818) 760-8832
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 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 MFC51144 CA Primary

Addresses

Primary practice location

18345 Ventura Blvd Ste 507
Tarzana, CA 91356-4245

Mailing address

1429 Jonesboro Dr
Los Angeles, CA 90049-3626
Phone (310) 383-5654

Other practice location 1

11601 Wilshire Blvd
Suite # 500
Los Angeles, CA 90025
Phone (310) 383-5654

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
MFC51144CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1992961536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 JONESBORO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493626",
            "telephone_number": "310-383-5654",
            "fax_number": "818-670-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD STE 507",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564245",
            "telephone_number": "310-383-5654",
            "fax_number": "818-760-8832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11601 Wilshire Blvd",
            "address_2": "Suite # 500",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90025",
            "country_code": "US",
            "telephone_number": "310-383-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFVATI",
        "first_name": "LADAN",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.