Organization Active NPI

Serenity Group Family Therapy

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1356730659
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SERENITY GROUP FAMILY THERAPY
Doing business as
Serenity Group
Practice address
10535 Foothill Blvd Ste 282
Rancho Cucamonga, CA 91730-7677
Phone
(909) 944-5700
Fax
(909) 944-5722
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Ms. Virginia M Aguilar, LMFTNPI 1518104645
Title
Partner/Owner
Phone
(909) 944-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

10535 Foothill Blvd Ste 282
Rancho Cucamonga, CA 91730-7677

Mailing address

10535 Foothill Blvd Ste 282
Rancho Cucamonga, CA 91730-7677
Phone (909) 944-5700

Other identifiers 1

IdentifierTypeStateIssuer
1891883427OtherCANPI

Other names 1

  • Serenity Group Doing business as

National Provider Directory

National Provider Directory

Locations

10535 Foothill Blvd
Ste 282
Rancho Cucamonga, CA 91730
Phone (909) 944-5700

10737 Laurel St
Rancho Cucamonga, CA 91730
Phone (909) 262-0300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1356730659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD STE 282",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307677",
            "telephone_number": "909-944-5700",
            "fax_number": "909-944-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD STE 282",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307677",
            "telephone_number": "909-944-5700",
            "fax_number": "909-944-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GROUP FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "909-944-5700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891883427",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.