Active NPI
Alicia Pabon
- Marriage & Family Therapist
- Canyon Country, CA
National Provider Identifier
1104287945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90203
- Practice address
- 17965 Lost Canyon Rd Unit 66
Canyon Country, CA 91387-8314 - Phone
- (747) 243-9217
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 90203 | CA | Primary |
Addresses
Primary practice location
17965 Lost Canyon Rd Unit 66
Canyon Country, CA 91387-8314
Mailing address
17965 Lost Canyon Rd Unit 66
Canyon Country, CA 91387-8314
Phone (747) 243-9217
Other names 1
- Alicia Maldonado
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": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1104287945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17965 LOST CANYON RD UNIT 66",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913878314",
"telephone_number": "747-243-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17965 LOST CANYON RD UNIT 66",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913878314",
"telephone_number": "747-243-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "MALDONADO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.