Regina M. Petrella

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC40767 Issued in CA

Practice address

110 N Maclay Ave Ste 109
San Fernando, CA 91340

Phone

(310) 962-4330

Fax

(310) 454-9174

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1093849697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KIKI PL",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724645",
            "telephone_number": "310-962-4330",
            "fax_number": "310-454-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MACLAY AVE STE 109",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "91340",
            "telephone_number": "310-962-4330",
            "fax_number": "310-454-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLA",
        "first_name": "REGINA",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Perdomo
• Natalie Perdomo
• Ash Perez
• Maria Perez
• Maria Perez, RBT
• Arman Petrosyan, D.D.S.
• Marianna Tovmasyan Petrosyan, O.D.
• Pharmamed Inc.
• Roman Pickett
• Mykie Pidor, MD

• All providers in San Fernando, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.