Individual provider Active NPI

Isela P. Baron, LMFT

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1003062167
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT52903 Issued in CA
Practice address
23791 Lone Pine Dr
Moreno Valley, CA 92557-2946
Phone
(951) 223-5101
NPI assigned
Aug 8, 2008
Reactivated
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52903 CA
Marriage & Family Therapist 106H00000X LMFT52903 CA Primary

Addresses

Primary practice location

23791 Lone Pine Dr
Moreno Valley, CA 92557-2946

Mailing address

12625 Frederick St
Ste I5 PMB#289
Moreno Valley, CA 92553-0714
Phone (951) 223-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT52903CAMDMarriage & Family Therapist
52903CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1003062167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 FREDERICK ST",
            "address_2": "STE I5 PMB#289",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925530714",
            "telephone_number": "951-223-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23791 LONE PINE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572946",
            "telephone_number": "951-223-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "ISELA",
        "middle_name": "P.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "deactivation_date": "2020-07-23",
        "reactivation_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52903",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT52903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.