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SAMER FAWAZ
NPI 1609592864
Marriage & Family Therapist in Los Angeles, CA

Active since October 18, 2022Opted out of Medicare · through Aug 27, 2026
10586 W PICO BLVD # 257, LOS ANGELES, CA 90064(310) 923-1905 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samer Fawaz NPPES

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

SAMER FAWAZ (NPI 1609592864) is an individual marriage & family therapist in Los Angeles, California, licensed in California (135019) and active in the NPI registry since October 2022. He has opted out of Medicare through August 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609592864
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSAMER FAWAZ
Location Address10586 W PICO BLVD # 257Los Angeles, CA 90064-2332
Mailing Address10586 W Pico Blvd # 257Los Angeles, CA 90064-2332
Phone(310) 923-1905
Sole ProprietorYes
Enumeration DateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1609592864 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 · 135019
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.
10586 W PICO BLVD # 257, Los Angeles, CA 90064
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Other Identifiers 1

Other135019CA · Amft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samer Fawaz 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 August 27, 2024 through August 27, 2026.

Opt-Out Effective DateAugust 27, 2024
Opt-Out In Effect ThroughAugust 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

NICOLE PHYLLIS BERMENSOLO MA
Psychologist (Group Psychotherapy)
10586 W PICO BLVD # 257
LOS ANGELES, CA 90064
Los Angeles County (424) 271-5221

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 Samer Fawaz's NPI number?

The NPI number for Samer Fawaz is 1609592864. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Samer Fawaz located?

Samer Fawaz practices at 10586 W Pico Blvd # 257, Los Angeles, CA 90064. The listed phone number is (310) 923-1905.

What is Samer Fawaz's specialty?

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

Is Samer Fawaz enrolled in Medicare?

No. Samer Fawaz has opted out of Medicare through August 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Samer Fawaz was last updated on October 18, 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.