Individual provider Active NPI

Bianca Louise Rodriguez, MA, MED

  • Marriage & Family Therapist
  • Commerce, CA
National Provider Identifier
1265563886
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 46270 Issued in CA
Practice address
2450 S Atlantic Blvd
# 101
Commerce, CA 90040-1200
Phone
(323) 318-9960
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 46270 CA Primary

Addresses

Primary practice location

2450 S Atlantic Blvd
# 101
Commerce, CA 90040-1200

Mailing address

3178 S Barrington Ave
Apt B
Los Angeles, CA 90066-1151
Phone (310) 279-2988

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
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
MFC 46270CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penny Lane Past Accepting new patients
Penny Lane Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1265563886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 S BARRINGTON AVE",
            "address_2": "APT B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661151",
            "telephone_number": "310-279-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S ATLANTIC BLVD",
            "address_2": "# 101",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401200",
            "telephone_number": "323-318-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BIANCA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "MA, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.