Individual provider Active NPI

Lydia Gomez Robles, MFT

  • Marriage & Family Therapist
  • Bellflower, CA
National Provider Identifier
1083633721
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC20320 Issued in CA
Practice address
16600 Woodruff Ave Ste 102
Bellflower, CA 90706-4916
Phone
(562) 920-1600
Fax
(562) 920-0895
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 MFC20320 CA Primary

Addresses

Primary practice location

16600 Woodruff Ave Ste 102
Bellflower, CA 90706-4916

Mailing address

4618 Blanca Dr
Cypress, CA 90630-2620
Phone (714) 827-2480

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
I20240618004067 CA Practitioner - Marriage and Family Therapist 2668915653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC20320CAMDMarriage & Family Therapist
20320CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David K. Middleton, PHD, Inc CurrentSince Jul 24, 2022 Accepting new patients
Foresight Mental Health Marriage & Family Therapist CurrentSince Jun 6, 2024 Accepting new patients

Locations

16600 Woodruff Ave
Ste 102
Bellflower, CA 90706
Phone (562) 920-1600

235 E Broadway
Ste 314
Long Beach, CA 90802
Phone (530) 240-5855

11 Golden Shore
Ste 350
Long Beach, CA 90802
Phone (562) 253-7688

1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1083633721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 BLANCA DR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302620",
            "telephone_number": "714-827-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 WOODRUFF AVE STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064916",
            "telephone_number": "562-920-1600",
            "fax_number": "562-920-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "LYDIA",
        "middle_name": "GOMEZ",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.