Active NPI
Virginia Alvizo
- Marriage & Family Therapist
- Lancaster, CA
National Provider Identifier
1174028690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT138275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 112878 | CA | MD | Marriage & Family Therapist |
| LMFT138275 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star View Behavioral Health Inc. | Past | Accepting new patients | |
| Star View Behavioral Health, Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- Reseda, CA
- NPI 1215319652
-
- Community/Behavioral Health Agency
- Lancaster, CA
- NPI 1669966982
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.