Individual provider Active NPI

Elizabeth Camargo Garcia, LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1306560933
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119408 Issued in CA
Practice address
595 E Colorado Blvd Ste 618
Pasadena, CA 91101-2015
Phone
(626) 657-0329
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 119408 CA Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 618
Pasadena, CA 91101-2015

Mailing address

3016 E Colorado Blvd # 70392
Pasadena, CA 91107-3840

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SecureSimplePractice.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119408CAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1306560933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 E COLORADO BLVD # 70392",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 618",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012015",
            "telephone_number": "626-657-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO GARCIA",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SecureSimplePractice.com",
            "affiliation": "N",
            "address_1": "595 E Colorado Blvd Ste 618",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911012015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.