Active NPI
Antonia Zetina
- Marriage & Family Therapist
- Apple Valley, CA
National Provider Identifier
1427868652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 149577
- Practice address
- 21101 Dale Evans Parkway
Apple Valley, CA 92307-9356 - Phone
- (760) 961-6675
- NPI assigned
- Jan 9, 2025
- 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 | 149577 | CA | Primary |
Addresses
Primary practice location
21101 Dale Evans Parkway
Apple Valley, CA 92307-9356
Mailing address
755 E. Gilbert Street
San Bernardino, CA 92404-5413
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 |
|---|---|---|---|
| 149577 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1427868652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 E. GILBERT STREET",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21101 DALE EVANS PARKWAY",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923079356",
"telephone_number": "760-961-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZETINA",
"first_name": "ANTONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "149577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.