Individual provider Active NPI

Vanessa Adely Lozano Carrillo

  • Marriage & Family Therapist
  • Northridge, CA
National Provider Identifier
1023854361
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
157682 Issued in CA
Practice address
8330 Reseda Blvd
Northridge, CA 91324-4619
Phone
(818) 996-1051
NPI assigned
Jul 5, 2024
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 157682 CA Primary

Addresses

Primary practice location

8330 Reseda Blvd
Northridge, CA 91324-4619

Mailing address

21042 San Jose St
Chatsworth, CA 91311-2346
Phone (818) 577-7418

Other practice location 1

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Phone (818) 374-6901 ext. 2539

Other practice location 2

864 E Santa Clara St
Ventura, CA 93001-2939
Phone (805) 643-1446

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
157682CAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1023854361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21042 SAN JOSE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112346",
            "telephone_number": "818-577-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 RESEDA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244619",
            "telephone_number": "818-996-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14624 Sherman Way Ste 508",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914052289",
            "country_code": "US",
            "telephone_number": "818-374-6901 x2539",
            "fax_number": "818-374-6908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "864 E Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012939",
            "country_code": "US",
            "telephone_number": "805-643-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZANO CARRILLO",
        "first_name": "VANESSA",
        "middle_name": "ADELY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "157682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.