Individual provider Active NPI

Virginia Alvizo

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1174028690
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT138275 Issued in CA
Practice address
1216 W Avenue J Ste 300
Lancaster, CA 93534-2944
Phone
(661) 341-3495
NPI assigned
Mar 27, 2018
Reactivated
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 112878 CA
Marriage & Family Therapist 106H00000X LMFT138275 CA Primary

Addresses

Primary practice location

1216 W Avenue J Ste 300
Lancaster, CA 93534-2944

Mailing address

PO Box 589
Lancaster, CA 93584-0589
Phone (661) 488-7514

Other practice location 1

14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194
Phone (818) 835-3459

Other practice location 2

100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Phone (626) 395-7100

Other practice location 3

7601 Canby Ave Ste 3
Reseda, CA 91335-2979
Phone (818) 921-3466

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
112878CAMDMarriage & Family Therapist
LMFT138275CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star View Behavioral Health Inc. Past Accepting new patients
Star View Behavioral Health, Inc. PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 2

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1174028690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935840589",
            "telephone_number": "661-488-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W AVENUE J STE 300",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342944",
            "telephone_number": "661-341-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14500 Roscoe Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024194",
            "country_code": "US",
            "telephone_number": "818-835-3459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Walnut St Ste 375",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911240001",
            "country_code": "US",
            "telephone_number": "626-395-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Canby Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913352979",
            "country_code": "US",
            "telephone_number": "818-921-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVIZO",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "deactivation_date": "2019-04-16",
        "reactivation_date": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112878",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT138275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.