Individual provider Active NPI

Alexander Loera, M.A.

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1194266130
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT111380 Issued in CA
Practice address
32 S Raymond Ave Ste 3
Pasadena, CA 91105-1961
Phone
(626) 827-8932
NPI assigned
Mar 9, 2017
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT88636 CA
Marriage & Family Therapist 106H00000X IMF88636 CA
Marriage & Family Therapist 106H00000X LMFT111380 CA Primary

Addresses

Primary practice location

32 S Raymond Ave Ste 3
Pasadena, CA 91105-1961

Mailing address

535 Broadway St
Venice, CA 90291-3309
Phone (626) 827-8932

Other practice location 1

11057 Basye St
El Monte, CA 91731-1655
Phone (626) 444-0539 ext. 533

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

LicenseStateTypeSpecialty
AMFT88636CAMDMental Health Counselor
IMF88636CAMDMarriage & Family Therapist
LMFT111380CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1194266130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 BROADWAY ST",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913309",
            "telephone_number": "626-827-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S RAYMOND AVE STE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051961",
            "telephone_number": "626-827-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11057 Basye St",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917311655",
            "country_code": "US",
            "telephone_number": "626-444-0539 x533",
            "fax_number": "626-444-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOERA",
        "first_name": "ALEXANDER",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT88636",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF88636",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.