Individual provider Active NPI

Fabiola Rodriguez Cordova

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1366627556
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90686 Issued in CA
Practice address
20101 Hamilton Ave Ste 160
Torrance, CA 90502-1306
Phone
(310) 817-2177
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 90686 CA Primary
Marriage & Family Therapist 106H00000X 57163 CA

Addresses

Primary practice location

20101 Hamilton Ave Ste 160
Torrance, CA 90502-1306

Mailing address

20101 Hamilton Ave Ste 160
Torrance, CA 90502-1306
Phone (310) 817-2177

Other practice location 1

108 W Victoria St
Gardena, CA 90248-3523
Phone (310) 715-2020

Other identifiers 1

IdentifierTypeStateIssuer
1366627556OtherCAMASADA HOMES

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
57163CAMDMarriage & Family Therapist
90686CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling4Kids, Inc. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366627556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE STE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021306",
            "telephone_number": "310-817-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE STE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021306",
            "telephone_number": "310-817-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Victoria St",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902483523",
            "country_code": "US",
            "telephone_number": "310-715-2020",
            "fax_number": "310-715-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ CORDOVA",
        "first_name": "FABIOLA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90686",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "57163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASADA HOMES",
            "identifier": "1366627556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.