Active NPI
Jorge Partida del Toro, PSYD
- Psychologist
- Long Beach, CA
National Provider Identifier
1194031203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 17654
- Practice address
- 1158 Locust Ave
Long Beach, CA 90813-3204 - Phone
- (310) 694-4108
- NPI assigned
- Aug 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.005036 | IL | |
| Psychologist | 103T00000X | 17654 | CA | Primary |
Addresses
Primary practice location
1158 Locust Ave
Long Beach, CA 90813-3204
Mailing address
1533 Lake Shore Ave
Los Angeles, CA 90026
Phone (310) 694-4108
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 |
|---|---|---|---|
| 17654 | CA | MD | Professional Counselor |
| 071.005036 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1194031203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 LAKE SHORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "310-694-4108",
"fax_number": "630-636-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 LOCUST AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133204",
"telephone_number": "310-694-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTIDA DEL TORO",
"first_name": "JORGE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.005036",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "17654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.