David Cisneros, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103868 Issued in CA

Practice address

11633 San Vicente Blvd Ste 300
Los Angeles, CA 90049-6512

Phone

(323) 559-9637

NPI assigned

Dec 29, 2017

Sex

Male

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1104333129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 NAPLES AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914947",
            "telephone_number": "323-559-9637",
            "fax_number": "310-823-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496512",
            "telephone_number": "323-559-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "DAVID",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Cabello Cise
• Rubi Cisneros Rodriguez
• Carol Cisneros-Rivas, NURSE PRACTITIONER
• Alfonso Alejandro Cisneros
• Alfred Luis Cisneros, M.D.
• Diego Cisneros
• Erika Cisneros
• Evelyn Cisneros
• G Lyndel Cisneros
• Helen Cisneros

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.