Rosa V. Vail, LMFT #110739

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100301 Issued in CA

Practice address

401 E Ocean Ave
Lompoc, CA 93436-6828

Phone

(805) 737-6600

Fax

(805) 737-6601

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114175296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E. OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-737-6600",
            "fax_number": "805-737-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366828",
            "telephone_number": "805-737-6600",
            "fax_number": "805-737-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 S McClelland St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545120",
            "country_code": "US",
            "telephone_number": "805-614-9535",
            "fax_number": "805-614-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIL",
        "first_name": "ROSA",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "LMFT #110739",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "000009153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A. Tufenkian, MD
• Yvonne Tulloch, RCSN
• Dayana Ulloa
• Adriana Ceilia Uribe Colima
• Jessica Uribe
• Mariana Valadez
• Christina Louise Valdez
• Lydia Kay Valdez
• Rafael Valdovinos, ACSW126737
• Evelyn Andrea Valencia

• All providers in Lompoc, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.