Active NPI
Diosa Marriage and Family Therapy PC
- Marriage & Family Therapist
- Victorville, CA
National Provider Identifier
1417558974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- DIOSA MARRIAGE AND FAMILY THERAPY PC
- Practice address
- 14420 Civic Dr Ste 6
Victorville, CA 92392-2384 - Phone
- (760) 253-1834
- Fax
- (760) 267-9109
- NPI assigned
- Nov 2, 2020
- Last updated
- Nov 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anna Maria Lopez
- Title
- Owner
- Phone
- (760) 253-1834
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
14420 Civic Dr Ste 6
Victorville, CA 92392-2384
Mailing address
14420 Civic Dr Ste 6
Victorville, CA 92392-2384
Phone (760) 253-1834
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Victorville, CA
- NPI 1619316080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1417558974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14420 CIVIC DR STE 6",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922384",
"telephone_number": "760-253-1834",
"fax_number": "760-267-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14420 CIVIC DR STE 6",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922384",
"telephone_number": "760-253-1834",
"fax_number": "760-267-9109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIOSA MARRIAGE AND FAMILY THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-253-1834",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.