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REZA GHABOOSI
NPI 1861906018
Marriage & Family Therapist in Costa Mesa, CA

Active since November 27, 2017Opted out of Medicare · through Jul 31, 2028
3505 CADILLAC AVE STE 109, COSTA MESA, CA 92626(714) 432-9856(714) 432-9856 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Nov 27, 2017 (2 updates tracked since 2017).

About Reza Ghaboosi NPPES

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

REZA GHABOOSI (NPI 1861906018) is an individual marriage & family therapist in Costa Mesa, California, licensed in California (102468) and active in the NPI registry since November 2017. He has opted out of Medicare through July 31, 2028 and maintains a secondary practice location in Laguna Niguel.

NPPES Registry Identity

NPI1861906018
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameREZA GHABOOSI
Location Address3505 CADILLAC AVE STE 109Costa Mesa, CA 92626-1429
Mailing Address16 CalellaLaguna Niguel, CA 92677-8618
Phone(714) 432-9856
Fax(714) 432-9856
Sole ProprietorYes
Enumeration DateNovember 27, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1861906018 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 · 102468
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.
3505 CADILLAC AVE STE 109, Costa Mesa, CA 92626
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Secondary Practice Location 1

Location 116 CalellaLaguna Niguel, CA 92677-8618 · Phone (949) 842-7874

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Reza Ghaboosi 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 July 31, 2024 through July 31, 2028.

Opt-Out Effective DateJuly 31, 2024
Opt-Out In Effect ThroughJuly 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Reza Ghaboosi's NPI number?

The NPI number for Reza Ghaboosi is 1861906018. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Reza Ghaboosi located?

Reza Ghaboosi practices at 3505 Cadillac Ave Ste 109, Costa Mesa, CA 92626. The listed phone number is (714) 432-9856.

What is Reza Ghaboosi's specialty?

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

Is Reza Ghaboosi enrolled in Medicare?

No. Reza Ghaboosi has opted out of Medicare through July 31, 2028. 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 Reza Ghaboosi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.