Active NPI
Jessica La Rocca
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1154987832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 91103
- Practice address
- 12304 Santa Monica Blvd Ste 327
Los Angeles, CA 90025-7207 - Phone
- (510) 828-7816
- NPI assigned
- May 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 91103 | CA | Primary |
Addresses
Primary practice location
12304 Santa Monica Blvd Ste 327
Los Angeles, CA 90025-7207
Mailing address
4500 Via Marina Apt 209
Marina del Rey, CA 90292-7219
Phone (510) 828-7816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D9196224 | Other | CA | DMV |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1154987832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 VIA MARINA APT 209",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927219",
"telephone_number": "510-828-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 SANTA MONICA BLVD STE 327",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257207",
"telephone_number": "510-828-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA ROCCA",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "91103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMV",
"identifier": "D9196224",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Diane La Pierre I, CRNA
- Jacquline Marisa La Plante, PT, DPT
- La Providencia Medical Clinic
- La Psychotherapy Group
- La Rehab & Physical Therapy, Inc
- Julieta Garcia La Rocca, M.D.
- Lisa Winters La Rose, LCSW
- La Santos Starr Dental Corporation
- Brooke Amber La Saulle, N.P. & CNM
- Sarah Blaine La Saulle, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.