Irma Marmolejo, SAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF88726 Issued in CA

Practice address

4340 Wilson St
Chino, CA 91710-3233

Phone

(909) 590-0805

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 15, 2025 through Apr 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luvlee'S Residential Care, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chino, CA
  • NPI 1649792763
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1235482811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20226 E DAMERAL DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243939",
            "telephone_number": "626-324-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 WILSON ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103233",
            "telephone_number": "909-590-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJO",
        "first_name": "IRMA",
        "name_prefix": "Miss",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "01-107183",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF88726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leigh Manon, CMT
• Mao-Jin Fu, a Medical Corporation
• Dono Hon Marbun
• Armen Mardirossian, DDS MS
• Maria Angelica Marin Hernandez, MD
• Mariely Marquez Molina, DDS
• Hope Velinda Marquez-Castro
• Martin Chiropractic
• Clarissa Katherine Martin
• David Lugene Martin, D.C.

• Marriage & Family Therapist in Chino, CA
• Providers in Chino, 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 May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.