Individual provider Active NPI

Marisol Edith Nunez, M.S.

  • Marriage & Family Therapist
  • San Fernando, CA
National Provider Identifier
1487039780
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101797 Issued in CA
Practice address
762 Griswold Ave
San Fernando, CA 91340-2105
Phone
(747) 500-9405
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 101797 CA Primary

Addresses

Primary practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Mailing address

33432 Winston Way Unit B
Temecula, CA 92592-5302
Phone (818) 726-1271

Other practice location 1

33432 Winston Way Unit B
Temecula, CA 92592-5302
Phone (818) 726-1271

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
101797CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Recovery Center PastSince May 7, 2024 Accepting new patients
San Fernando Recovery Center PastSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1487039780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33432 WINSTON WAY UNIT B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925302",
            "telephone_number": "818-726-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 GRISWOLD AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402105",
            "telephone_number": "747-500-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33432 Winston Way Unit B",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925925302",
            "country_code": "US",
            "telephone_number": "818-726-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MARISOL",
        "middle_name": "EDITH",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.