Individual provider Active NPI

Siomara Magaly Guzman Vasquez, LMFT

  • Marriage & Family Therapist
  • Sylmar, CA
National Provider Identifier
1275895732
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119204 Issued in CA
Practice address
13286 Cranston Ave
Sylmar, CA 91342-3215
Phone
(213) 507-2166
Fax
(844) 590-1562
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 119204 CA Primary
Marriage & Family Therapist 106H00000X 115058 CA

Addresses

Primary practice location

13286 Cranston Ave
Sylmar, CA 91342-3215

Mailing address

176 Holston Dr
Lancaster, CA 93535-4531
Phone (213) 507-2166

Other identifiers 1

IdentifierTypeStateIssuer
1275895732MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923003697 CA Practitioner - Marriage and Family Therapist 0244735025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13286 Cranston Ave
Sylmar, CA 91342-3215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115058CAMDMarriage & Family Therapist
119204CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Sep 9, 2025 Accepting new patients
N.S.G.G. Clinical Practice & Co Marriage & Family Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1275895732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 HOLSTON DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354531",
            "telephone_number": "213-507-2166",
            "fax_number": "844-590-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13286 CRANSTON AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423215",
            "telephone_number": "213-507-2166",
            "fax_number": "844-590-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN VASQUEZ",
        "first_name": "SIOMARA",
        "middle_name": "MAGALY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119204",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275895732",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.