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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANGGA SMARADIKA RAHADYAN LMFT
NPI 1023675576
Marriage & Family Therapist in Irvine, CA

Active since May 21, 2019PECOS Enrolled
4255 CAMPUS DR STE A245, IRVINE, CA 92612(949) 502-0736 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2026, Jun 2, 2025, May 21, 2019 (3 updates tracked since 2019).

About Dr. Angga Smaradika Rahadyan Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGGA SMARADIKA RAHADYAN LMFT (NPI 1023675576) is an individual marriage & family therapist in Irvine, California, licensed in California (154558) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fullerton.

NPPES Registry Identity

NPI1023675576
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. ANGGA SMARADIKA RAHADYANCredential: LMFT
Location Address4255 CAMPUS DR STE A245Irvine, CA 92612-8630
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Phone(949) 502-0736
Sole ProprietorNo
Enumeration DateMay 21, 2019
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1023675576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 154558
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4255 CAMPUS DR STE A245, Irvine, CA 92612
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Secondary Practice Location 1

Location 12601 E Chapman Ave Ste 111Fullerton, CA 92831-3737 · Phone (949) 293-6249

Other Identifiers 1

Other154558CA · Board Of Behavioral Sciences - California

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angga Smaradika Rahadyan Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISOL GARCIA VALENTE
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
PARISA HASHEMI DO
Psychiatry & Neurology (Psychiatry)
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
KAI CHIU
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
ANDREA LOCHTEFELD ACSW
Social Worker
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (855) 501-1004
MR. JOSEPH CHRISTOPHER ZERRUDO M.S., LMFT
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
MS. DIANE MARIE ACKROYD PMPNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (888) 699-4873
LAWRENCE CHEN PHD
Psychologist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
SANDRA DE JONK
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (855) 501-1004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angga Rahadyan's NPI number?

The NPI number for Angga Rahadyan is 1023675576. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Angga Rahadyan located?

Angga Rahadyan practices at 4255 Campus Dr Ste A245, Irvine, CA 92612. The listed phone number is (949) 502-0736.

What is Angga Rahadyan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angga Rahadyan enrolled in Medicare?

Yes. Angga Rahadyan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angga Rahadyan was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.