Active NPI
Ivette Sizemore, LMFT
- Marriage & Family Therapist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 107612
- Practice address
- 5121 Stockdale Hwy Ste 200
Bakersfield, CA 93309-2664 - Phone
- (661) 485-1244
- NPI assigned
- Jul 17, 2014
- Reactivated
- Nov 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 107612 | CA | Primary |
Addresses
Primary practice location
5121 Stockdale Hwy Ste 200
Bakersfield, CA 93309-2664
Mailing address
1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone (310) 221-6336
Other names 1
- Ivette Diaz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304002315 | CA | Practitioner - Marriage and Family Therapist | 3870938517 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyti Health PC | Current | Accepting new patients | |
| Behavior Health & Wellness Center, LLC | Current | Accepting new patients | |
| Center for New Directions, Inc. | Past | Accepting new patients |
Locations
330 Oxford St
Ste 208B
Chula Vista, CA 91911
Phone (760) 278-3112
11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317
402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939
3111 Camino del Rio N
Ste 460
San Diego, CA 92108
Interoperability endpoints
- ivette.sizemore.p1@direct.sokya.nextgenshare.com
- lifestancehealth.ivettediaz@148377.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
CA
-
- Mental Health Counselor
- Laguna Hills, CA
- NPI 1578121190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1013324474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HUGHES WAY STE 150",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101878",
"telephone_number": "310-221-6336",
"fax_number": "310-221-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 STOCKDALE HWY STE 200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092664",
"telephone_number": "661-485-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIZEMORE",
"first_name": "IVETTE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"deactivation_date": "2019-11-05",
"reactivation_date": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "107612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVETTE",
"last_name": "DIAZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.