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DAVID BLACKER MA
NPI 1306574702
Marriage & Family Therapist in Los Angeles, CA

Active since August 12, 2022Opted out of Medicare · through Nov 21, 2026
4221 WILSHIRE BLVD, SUITE 320, LOS ANGELES, CA 90010(323) 577-4288 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Blacker Ma NPPES

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

DAVID BLACKER MA (NPI 1306574702) is an individual marriage & family therapist in Los Angeles, California and active in the NPI registry since August 2022. He has opted out of Medicare through November 21, 2026.

NPPES Registry Identity

NPI1306574702
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDAVID BLACKERCredential: MA
Location Address4221 WILSHIRE BLVD, SUITE 320Los Angeles, CA 90010
Mailing Address11244 Sunshine TerraceStudio City, CA 91604 · (323) 387-0251
Phone(323) 577-4288
Sole ProprietorNo
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1306574702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
4221 WILSHIRE BLVD, Los Angeles, CA 90010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David Blacker Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 21, 2024 through November 21, 2026.

Opt-Out Effective DateNovember 21, 2024
Opt-Out In Effect ThroughNovember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. KANHCHANA DOM
Behavior Analyst
4221 WILSHIRE BLVD, SUITE 300A
LOS ANGELES, CA 90010
Los Angeles County (323) 866-1880
JOSEPH OLMOS
Behavior Technician
4221 WILSHIRE BLVD, 300
LOS ANGELES, CA 90010
Los Angeles County (888) 428-3223
KARLA CAMARENA
Behavior Technician
4221 WILSHIRE BLVD, 300
LOS ANGELES, CA 90010
Los Angeles County (888) 428-3223
IVAN PITONES
Behavior Technician
4221 WILSHIRE BLVD, 300
LOS ANGELES, CA 90010
Los Angeles County (888) 428-3223
CESILIA ROQUE
Behavior Technician
4221 WILSHIRE BLVD, 300
LOS ANGELES, CA 90010
Los Angeles County (888) 428-3223
MAJESTY HOSPICE, INC.
Hospice Care, Community Based
4221 WILSHIRE BLVD, STE 480
LOS ANGELES, CA 90010
Los Angeles County (323) 634-9907
DARYN KALMUS BCBA
Behavior Analyst
4221 WILSHIRE BLVD, SUITE 300A
LOS ANGELES, CA 90010
Los Angeles County (323) 866-1880
RUDOLFO CASTRO LCSW
Social Worker (Clinical)
4221 WILSHIRE BLVD
LOS ANGELES, CA 90010
Los Angeles County (213) 677-7005

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 David Blacker's NPI number?

The NPI number for David Blacker is 1306574702. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is David Blacker located?

David Blacker practices at 4221 Wilshire Blvd Suite 320, Los Angeles, CA 90010. The listed phone number is (323) 577-4288.

What is David Blacker's specialty?

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

Is David Blacker enrolled in Medicare?

No. David Blacker has opted out of Medicare through November 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Blacker was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.