Active NPI
Deborah Ann Guagliardo
- Marriage & Family Therapist
- Chino Hills, CA
National Provider Identifier
1407304207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT93401
- Practice address
- 1907 Boys Republic Dr
Chino Hills, CA 91709-5447 - Phone
- (909) 628-1217
- Fax
- (909) 627-9222
- NPI assigned
- Sep 21, 2016
- 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 | LMFT93401 | CA | Primary |
Addresses
Primary practice location
1907 Boys Republic Dr
Chino Hills, CA 91709-5447
Mailing address
1907 Boys Republic Dr
Chino Hills, CA 91709-5447
Phone (909) 628-1217
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 |
|---|---|---|---|
| LMFT93401 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1407304207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 BOYS REPUBLIC DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095447",
"telephone_number": "909-628-1217",
"fax_number": "909-627-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 BOYS REPUBLIC DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095447",
"telephone_number": "909-628-1217",
"fax_number": "909-627-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAGLIARDO",
"first_name": "DEBORAH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT93401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.