Marco Antonio Elias-Juarez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT83864 Issued in CA

Practice address

3125 Myers St
Riverside, CA 92503-5527

Phone

(951) 486-5022

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marco Antonio Elias-Juarez Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1003434986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MYERS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035527",
            "telephone_number": "951-486-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS-JUAREZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT83864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Redlands",
            "affiliation": "N",
            "endpointDescription": "Redlands",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Redlands",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Redlands",
            "address_1": "3125 Myers St",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925035527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARCO",
            "last_name": "ELIAS-JUAREZ",
            "middle_name": "ANTONIO",
            "prefix": "DR.",
            "credential": "MARCO ELIAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julia Dian Elguera
• Nadeen Elhajjaoui, OTD, OTR/L, CNS
• Lekaa Elhajjmoussa
• Nora Elhams
• Eliaa, LLC
• Brenda F Elias
• Chris Elias, MD
• Claudia Elias, LVN
• Elias, Elliott, Lampasi, Fehn, & Harris Adp
• Elias, Elliott, Lampasi, Fehn, & Harris Adp

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.