Active NPI
Linda Zimbelman - L.M.F.T., M.A., L.M.F.T
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1184770059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 20834
- Practice address
- 3611 S Harbor Blvd
100
Santa Ana, CA 92704-6928 - Phone
- (310) 714-0295
- Fax
- (714) 969-3455
- NPI assigned
- Jan 25, 2007
- 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 | MFC 20834 | CA | Primary |
Addresses
Primary practice location
3611 S Harbor Blvd
100
Santa Ana, CA 92704-6928
Mailing address
3611 S Harbor Blvd
100
Santa Ana, CA 92704-6928
Phone (310) 714-0295
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 20834 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Children's Society, Inc | 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 and National Provider Directory roles.
-
dba South Coast Community Services
- Mental Illness Community Based Residential Treatment Facility
- Mission Viejo, CA
- NPI 1215017603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1184770059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 S HARBOR BLVD",
"address_2": "100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046928",
"telephone_number": "310-714-0295",
"fax_number": "714-969-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 S HARBOR BLVD",
"address_2": "100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046928",
"telephone_number": "310-714-0295",
"fax_number": "714-969-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMBELMAN - L.M.F.T.",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"credential": "M.A., L.M.F.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 20834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.