Desiree Eileen Miranda Vega, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF50330 Issued in CA

Practice address

11145 Tampa Ave Ste 15a
Northridge, CA 91326

Phone

(818) 427-3891

Fax

(818) 855-7428

NPI assigned

Aug 29, 2007

Last updated

Aug 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1225222557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 FREMONT AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654524",
            "telephone_number": "818-427-3891",
            "fax_number": "818-855-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 15A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91326",
            "telephone_number": "818-427-3891",
            "fax_number": "818-855-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23822 Valencia Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555344",
            "country_code": "US",
            "telephone_number": "818-427-3891",
            "fax_number": "818-855-7428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "DESIREE",
        "middle_name": "EILEEN MIRANDA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF50330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Vayser, PHARMD
• Jocelyn Vazquez
• Leticia Vega-Daily
• Alanie Vega
• Cesar Augusto Vega, M.D.
• Yesenia Velarde
• Nancy Velasco
• Gabriela Velasquez
• Luis Miguel Velasquez
• Adrian Velazquez

• Marriage & Family Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.