Active NPI
Xenia TSZ-Shan Kwok
- Marriage & Family Therapist
- Jurupa Valley, CA
National Provider Identifier
1144594748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT84865
- Practice address
- 3924 Riverview Dr
Jurupa Valley, CA 92509-6611 - Phone
- (951) 416-1111
- Fax
- (951) 346-3781
- NPI assigned
- Feb 28, 2012
- 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 | LMFT84865 | CA | Primary |
Addresses
Primary practice location
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Mailing address
900 Corporate Center Dr Ste 350
Monterey Park, CA 91754-7620
Phone (323) 526-4016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT84865 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alma Family Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Jurupa Valley, CA
- NPI 1821590605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1144594748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CORPORATE CENTER DR STE 350",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547620",
"telephone_number": "323-526-4016",
"fax_number": "323-526-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 RIVERVIEW DR",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "925096611",
"telephone_number": "951-416-1111",
"fax_number": "951-346-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "XENIA",
"middle_name": "TSZ-SHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT84865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jurupa Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.