Active NPI
Raul Gracia Haro, MFT INTERN
- Marriage & Family Therapist
- Pico Rivera, CA
National Provider Identifier
1205965639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51823
- Practice address
- 9101 Whittier Blvd
Pico Rivera, CA 90660-2405 - Phone
- (562) 801-4626
- NPI assigned
- Mar 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51823 | CA | Primary |
Addresses
Primary practice location
9101 Whittier Blvd
Pico Rivera, CA 90660-2405
Mailing address
1202 W Alameda Ave Apt B
Burbank, CA 91506-2836
Phone (818) 421-6022
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 |
|---|---|---|---|
| 51823 | CA | MD | Customized Equipment (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1205965639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 W ALAMEDA AVE APT B",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062836",
"telephone_number": "818-421-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 WHITTIER BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602405",
"telephone_number": "562-801-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARO",
"first_name": "RAUL",
"middle_name": "GRACIA",
"credential": "MFT INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.