Active NPI
Emanuel Lewis Esquivel, LMFT
- Marriage & Family Therapist
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122087
- Practice address
- 1650 E Old Badillo St # B3
Covina, CA 91724-3163 - Phone
- (626) 251-2300
- NPI assigned
- Dec 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 95572 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 122087 | CA | Primary |
Addresses
Primary practice location
1650 E Old Badillo St # B3
Covina, CA 91724-3163
Mailing address
1650 E Old Badillo St # B3
Covina, CA 91724-3163
Phone (626) 251-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95572 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masonic Homes of California | Current | Accepting new patients | |
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current | Accepting new patients |
| Masonic Homes of California | Current | Accepting new patients | |
| Masonic Homes of California | Current | Accepting new patients | |
| Masonic Homes of California | Past | Accepting new patients |
Locations
1650 E Old Badillo St
Ste B3
Covina, CA 91724
1650 E Old Badillo St
#B3
Covina, CA 91724
Phone (626) 251-2300
1650 E Old Badillo St
Covina, CA 91724
Phone (626) 251-2200
1111 California St
San Francisco, CA 94108
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Union City, CA
- NPI 1114111317
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Marriage & Family Therapist
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1295388106
-
- Skilled Nursing Facility
- Covina, CA
- NPI 1639726102
-
- Nursing Facility/Intermediate Care Facility
- Union City, CA
- NPI 1043426588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1124363726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 E OLD BADILLO ST # B3",
"city": "COVINA",
"state": "CA",
"postal_code": "917243163",
"telephone_number": "626-251-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 E OLD BADILLO ST # B3",
"city": "COVINA",
"state": "CA",
"postal_code": "917243163",
"telephone_number": "626-251-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUIVEL",
"first_name": "EMANUEL",
"middle_name": "LEWIS",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-07",
"last_updated": "2022-01-06",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "95572",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.