Individual provider Active NPI

Vanessa Bejarano Alcoser, AMFT

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1477095222
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
144413 Issued in CA
Practice address
2512 Artesia Blvd Ste 110
Redondo Beach, CA 90278-3265
Phone
(310) 974-0533
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 144413 CA Primary

Addresses

Primary practice location

2512 Artesia Blvd Ste 110
Redondo Beach, CA 90278-3265

Mailing address

20931 Halldale Ave
Torrance, CA 90501-2338
Phone (310) 561-9676

Other practice location 1

4281 Katella Ave Ste 201
Los Alamitos, CA 90720-6509
Phone (714) 503-6871

Other names 1

  • Miss Vanessa Bejarano Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Chair Foundation Mental Health CurrentSince Jun 30, 2024 Accepting new patients

Locations

2512 Artesia Blvd
Ste 110
Redondo Beach, CA 90278
Phone (310) 894-0533

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1477095222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20931 HALLDALE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012338",
            "telephone_number": "310-561-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 110",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783265",
            "telephone_number": "310-974-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4281 Katella Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907206509",
            "country_code": "US",
            "telephone_number": "714-503-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCOSER",
        "first_name": "VANESSA",
        "middle_name": "BEJARANO",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BEJARANO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.