Active NPI
Idalia Razo
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1003931627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 43280
- Practice address
- 3711 Long Beach Blvd
Suite 600
Long Beach, CA 90807-3315 - Phone
- (562) 485-3038
- Fax
- (562) 981-7569
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 43280 | CA | Primary |
Addresses
Primary practice location
3711 Long Beach Blvd
Suite 600
Long Beach, CA 90807-3315
Mailing address
3711 Long Beach Blvd
Suite 600
Long Beach, CA 90807-3315
Phone (562) 485-3038
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 43280 | CA | MD | Marriage & Family Therapist |
| 43280 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albion Medical Partners of California West P C | Current | Accepting new patients | |
| The Guidance Center | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
Interoperability endpoints
- https://api.platform.athenahealth.com/953/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1720167810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003931627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 LONG BEACH BLVD",
"address_2": "SUITE 600",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073315",
"telephone_number": "562-485-3038",
"fax_number": "562-981-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 LONG BEACH BLVD",
"address_2": "SUITE 600",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073315",
"telephone_number": "562-485-3038",
"fax_number": "562-981-7569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZO",
"first_name": "IDALIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 43280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.