Active NPI
Mayra I Duarte, MFT
- Marriage & Family Therapist
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC35948
- Practice address
- 101 E Redland Blvd
Suite 234
Redlands, CA 92373 - Phone
- (909) 335-3026
- Fax
- (909) 335-3167
- NPI assigned
- Apr 5, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC35948 | CA | Primary |
Addresses
Primary practice location
101 E Redland Blvd
Suite 234
Redlands, CA 92373
Mailing address
101 E Redland Blvd
Suite 234
Redlands, CA 92373
Phone (909) 335-3026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35948 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Inlandpsych Redlands Inc | Current | Accepting new patients | |
| Inlandpsych Redlands Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
701 Highland Springs Ave
Ste 7
Beaumont, CA 92223
Phone (951) 849-7455
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1053575738
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Psychiatry Physician
- Beaumont, CA
- NPI 1649589219
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1689606196
-
- Multi-Specialty Clinic/Center
- Highland, CA
- NPI 1053653873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1225090145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E REDLAND BLVD",
"address_2": "SUITE 234",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-335-3026",
"fax_number": "909-335-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E REDLAND BLVD",
"address_2": "SUITE 234",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-335-3026",
"fax_number": "909-335-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUARTE",
"first_name": "MAYRA",
"middle_name": "I",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC35948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.