Individual provider Active NPI

Virginia B Baldioli, LMFT MARRIAGE & FAMI

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1033328935
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
23829 Issued in CA
Practice address
6850 Van Nuys Blvd Ste 202
Van Nuys, CA 91405-4629
Phone
(818) 786-2079
Fax
(818) 304-0714
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X 23829 MFT CA
Marriage & Family Therapist 106H00000X 23829 CA Primary

Addresses

Primary practice location

6850 Van Nuys Blvd Ste 202
Van Nuys, CA 91405-4629

Mailing address

6850 Van Nuys Blvd.
Suite 202
Van Nuys, CA 91405
Phone (818) 786-2079

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531001990 CA Practitioner - Marriage and Family Therapist 2860834207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23829 MFTCAMDGroup Psychotherapy Psychologist
23829CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1033328935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD.",
            "address_2": "SUITE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-786-2079",
            "fax_number": "818-304-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054629",
            "telephone_number": "818-786-2079",
            "fax_number": "818-304-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDIOLI",
        "first_name": "VIRGINIA",
        "middle_name": "B",
        "credential": "LMFT MARRIAGE & FAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "23829 MFT",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "23829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.