Individual provider Active NPI

Lizbeth Guadalupe Hernandez, MFTI

  • Marriage & Family Therapist
  • Montebello, CA
National Provider Identifier
1083749337
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
83508 Issued in CA
Practice address
813 W Whittier Blvd
Suite 212
Montebello, CA 90640-4759
Phone
(626) 991-9876
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 83508 CA Primary

Addresses

Primary practice location

813 W Whittier Blvd
Suite 212
Montebello, CA 90640-4759

Mailing address

813 W Whittier Blvd
Suite 212
Montebello, CA 90640-4759
Phone (626) 991-9876

Other names 1

  • Lizbeth Guadalupe Rivera Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1083749337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W WHITTIER BLVD",
            "address_2": "SUITE 212",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404759",
            "telephone_number": "626-991-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W WHITTIER BLVD",
            "address_2": "SUITE 212",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404759",
            "telephone_number": "626-991-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LIZBETH",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZBETH",
            "last_name": "RIVERA",
            "middle_name": "GUADALUPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.