Active NPI
Magdalena Ascencio
- Marriage & Family Therapist
- Lake Elsinore, CA
National Provider Identifier
1407055015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF60274
- Practice address
- 31681 Riverside Dr
Suite L
Lake Elsinore, CA 92530-7815 - Phone
- (951) 674-9243
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF60274 | CA | Primary |
Addresses
Primary practice location
31681 Riverside Dr
Suite L
Lake Elsinore, CA 92530-7815
Mailing address
3051 Avishan Dr
Perris, CA 92571-6920
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 |
|---|---|---|---|
| IMF60274 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1407055015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 AVISHAN DR",
"city": "PERRIS",
"state": "CA",
"postal_code": "925716920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31681 RIVERSIDE DR",
"address_2": "SUITE L",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925307815",
"telephone_number": "951-674-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCENCIO",
"first_name": "MAGDALENA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF60274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.