Individual provider Active NPI

Elsa Valdes, M.F.T.

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1407492242
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106302 Issued in CA
Practice address
23461 S Pointe Dr Ste 190
Laguna Hills, CA 92653-1538
Phone
(714) 348-7791
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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 106302 CA Primary

Addresses

Primary practice location

23461 S Pointe Dr Ste 190
Laguna Hills, CA 92653-1538

Mailing address

23462 Blue Bird Dr
Lake Forest, CA 92630-3734
Phone (714) 348-7791

Other practice location 1

745 S Brea Blvd Ste 23
Brea, CA 92821-5365
Phone (714) 348-7791

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

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1407492242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23462 BLUE BIRD DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303734",
            "telephone_number": "714-348-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR STE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531538",
            "telephone_number": "714-348-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 S Brea Blvd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928215365",
            "country_code": "US",
            "telephone_number": "714-348-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES",
        "first_name": "ELSA",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.