Individual provider Active NPI

Beatriz Granja, MFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1184824765
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41898 Issued in CA
Practice address
2030 E 4TH St Ste 255G
Santa Ana, CA 92705-3924
Phone
(949) 230-9526
Fax
(714) 558-6199
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41898 CA Primary

Addresses

Primary practice location

2030 E 4TH St Ste 255G
Santa Ana, CA 92705-3924

Mailing address

2030 E 4TH St Ste 255G
Santa Ana, CA 92705-3924
Phone (949) 230-9526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519000925 CA Practitioner - Marriage and Family Therapist 1153849609 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC41898CAMDMarriage & Family Therapist
41898CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1184824765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E 4TH ST STE 255G",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053924",
            "telephone_number": "949-230-9526",
            "fax_number": "714-558-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E 4TH ST STE 255G",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053924",
            "telephone_number": "949-230-9526",
            "fax_number": "714-558-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANJA",
        "first_name": "BEATRIZ",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.