Individual provider Active NPI

Rafael Santoya, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1154641124
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT53058 Issued in CA
Practice address
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Phone
(323) 640-6448
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X LMFT53058 CA Primary

Addresses

Primary practice location

1910 Magnolia Ave
Los Angeles, CA 90007-1220

Mailing address

1910 Magnolia Ave
Los Angeles, CA 90007-1220
Phone (323) 640-6448

Other practice location 1

2425 E Slauson Avenue
Suite 210
Huntington Park, CA 90255
Phone (323) 640-6448

Other names 1

  • Rafael Montoya Former name

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

LicenseStateTypeSpecialty
LMFT53058CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Syg Counseling Center PastSince Jan 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1154641124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MAGNOLIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071220",
            "telephone_number": "323-640-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MAGNOLIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071220",
            "telephone_number": "323-640-6448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 E Slauson Avenue",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "90255",
            "country_code": "US",
            "telephone_number": "323-640-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOYA",
        "first_name": "RAFAEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT53058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "MONTOYA",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.