Gina Lynn Marquardt, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

520 W Palmdale Blvd Ste D
Palmdale, CA 93551-4230

Phone

(661) 575-8395

NPI assigned

Oct 5, 2013

Last updated

Oct 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1380931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1417384454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20652 LASSEN ST",
            "address_2": "SPACE 27",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114533",
            "telephone_number": "818-349-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514230",
            "telephone_number": "661-575-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Pacific Coast Hwy",
            "address_2": "Suite 200A",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902772162",
            "country_code": "US",
            "telephone_number": "310-316-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-05",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhealyn Culala Marciano
• Hori Hagoob Mardirosyan
• Margarita Humanitarian Foundation
• Esmeralda Lisseth Marin
• Roland Markarian, DMD
• Erick Alexis Marquez
• Marta Marquez, MSW
• Brooke Marra
• Marriage and Family Counseling Center, Professional Corporation
• Melissa M Marroquin, LCSW

• Marriage & Family Therapist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.