{
"Npi": {
"NPI": "1023922234",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COAST TO VALLEY MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1285",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLOVIS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93613-1285",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "424-287-7628",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4080 PORTALS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLOVIS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93619-8781",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-599-3931",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/02/2026",
"LastUpdateDate": "10/02/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASHRAFZADEH",
"AuthorizedOfficialFirstName": "NINA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PSY.D., LMFT",
"AuthorizedOfficialTelephoneNumber": "424-287-7628",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}