Individual provider Active NPI

Malavika Lopez

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1386888303
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT94661 Issued in CA
Practice address
3726 Tibbetts St Ste a
Riverside, CA 92506-2660
Phone
(951) 500-3626
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 LMFT94661 CA Primary

Addresses

Primary practice location

3726 Tibbetts St Ste a
Riverside, CA 92506-2660

Mailing address

3726 Tibbetts St Ste a
Riverside, CA 92506-2660
Phone (951) 500-3626

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherNONE

Other names 1

  • Ms. Malavika Bangar Former name

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: No
  • 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
LMFT94661CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1386888303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 TIBBETTS ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062660",
            "telephone_number": "951-500-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 TIBBETTS ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062660",
            "telephone_number": "951-500-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MALAVIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT94661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALAVIKA",
            "last_name": "BANGAR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.