Active NPI
Graciela Belen Aguilar
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1184954414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128208
- Practice address
- 2677 N Main St Ste 110
Santa Ana, CA 92705-6663 - Phone
- (714) 274-7577
- NPI assigned
- Jan 8, 2010
- Last updated
- Feb 28, 2024
- 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 | 128208 | CA | Primary |
Addresses
Primary practice location
2677 N Main St Ste 110
Santa Ana, CA 92705-6663
Mailing address
1800 N Bristol St # C-488
Santa Ana, CA 92706-3336
Phone (714) 574-3763
Other practice location 1
525 Cabrillo Park Dr Ste 300
Santa Ana, CA 92701-5017
Phone (714) 953-4455 ext. 645
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 |
|---|---|---|---|
| 128208 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1184954414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N BRISTOL ST # C-488",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063336",
"telephone_number": "714-574-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 N MAIN ST STE 110",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056663",
"telephone_number": "714-274-7577"
}
],
"practiceLocations": [
{
"address_1": "525 Cabrillo Park Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927015017",
"country_code": "US",
"telephone_number": "714-953-4455 x645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILAR",
"first_name": "GRACIELA",
"middle_name": "BELEN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "128208",
"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 Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.