Active NPI
Remy Hereford, MS, LMFT #138013
- Marriage & Family Therapist
- Corona, CA
National Provider Identifier
1083046437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 138013
- Practice address
- 2275 S Main St Ste 201
Corona, CA 92882-5303 - Phone
- (951) 279-3222
- Fax
- (951) 279-5222
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 69869 | CA | |
| Marriage & Family Therapist | 106H00000X | 106406 | CA | |
| Marriage & Family Therapist | 106H00000X | 138013 | CA | Primary |
Addresses
Primary practice location
2275 S Main St Ste 201
Corona, CA 92882-5303
Mailing address
2275 S Main St Ste 201
Corona, CA 92882-5303
Phone (951) 279-3222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7667 | Other | CA | MEDI-CAL |
| 7184 | Other | CA | MEDI-CAL |
| 7368 | Other | CA | MEDI-CAL |
| 7708 | Other | CA | MEDI-CAL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106406 | CA | MD | Marriage & Family Therapist |
| 69869 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1083046437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 S MAIN ST STE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928825303",
"telephone_number": "951-279-3222",
"fax_number": "951-279-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 S MAIN ST STE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928825303",
"telephone_number": "951-279-3222",
"fax_number": "951-279-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREFORD",
"first_name": "REMY",
"credential": "MS, LMFT #138013",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "69869",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106406",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "138013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7368",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7708",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.