Active NPI
Jorge Mario Juarez-Asturias, PSYD
- Clinical Psychologist
- Seal Beach, CA
National Provider Identifier
1326181520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 18812
- Practice address
- 610 Pacific Coast Hwy
Suite 205
Seal Beach, CA 90740-6604 - Phone
- (323) 445-4476
- Fax
- (323) 663-7644
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 18812 | CA | Primary |
Addresses
Primary practice location
610 Pacific Coast Hwy
Suite 205
Seal Beach, CA 90740-6604
Mailing address
3373 Rowena Ave Apt 4
Los Angeles, CA 90027-2949
Phone (323) 445-4476
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18812 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1326181520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3373 ROWENA AVE APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272949",
"telephone_number": "323-445-4476",
"fax_number": "323-663-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 PACIFIC COAST HWY",
"address_2": "SUITE 205",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406604",
"telephone_number": "323-445-4476",
"fax_number": "323-663-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ-ASTURIAS",
"first_name": "JORGE",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.