Active NPI
Maria Davalos
- Addiction (Substance Use Disorder) Counselor
- Cerritos, CA
National Provider Identifier
1194944041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 17707 Studebaker Rd
Cerritos, CA 90703-2640 - Phone
- (562) 402-0688
- NPI assigned
- Apr 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
17707 Studebaker Rd
Cerritos, CA 90703-2640
Mailing address
17707 Studebaker Rd
Cerritos, CA 90703-2640
Phone (562) 402-0688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7006 | Medicaid | CA | |
| 609970 | Other | CA | EMPLOYEE ID NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1194944041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17707 STUDEBAKER RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032640",
"telephone_number": "562-402-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17707 STUDEBAKER RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032640",
"telephone_number": "562-402-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVALOS",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7006",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE ID NUMBER",
"identifier": "609970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.