Individual provider Active NPI

Alicia Ortencia Carranza, MCHES, NBC-HWC, CTSS

  • Health & Wellness Coach
  • Monterey Park, CA
National Provider Identifier
1306419387
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
24253 Issued in CA
Practice address
600 N Atlantic Blvd Apt 510
Monterey Park, CA 91754-7753
Phone
(949) 284-6770
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X 24253 CA Primary

Addresses

Primary practice location

600 N Atlantic Blvd Apt 510
Monterey Park, CA 91754-7753

Mailing address

245 W Garvey Ave Unit 978
Monterey Park, CA 91754-9445
Phone (949) 284-6770

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

State licenses

LicenseStateTypeSpecialty
24253CAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1306419387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W GARVEY AVE UNIT 978",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917549445",
            "telephone_number": "949-284-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ATLANTIC BLVD APT 510",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547753",
            "telephone_number": "949-284-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "ALICIA",
        "middle_name": "ORTENCIA",
        "credential": "MCHES, NBC-HWC, CTSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "24253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.