Individual provider Active NPI

Miriam Amanda Alvizures

  • Marriage & Family Therapist
  • San Clemente, CA
National Provider Identifier
1497298798
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119180 Issued in CA
Practice address
501 N El Camino Real Ste 200
San Clemente, CA 92672-4789
Phone
(949) 688-2933
NPI assigned
Nov 18, 2016
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X 95632 CA
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 119180 CA Primary

Addresses

Primary practice location

501 N El Camino Real Ste 200
San Clemente, CA 92672-4789

Mailing address

2121 W Temple St
Los Angeles, CA 90026-4915
Phone (415) 910-6044

Other practice location 1

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335
Phone (415) 656-0116

Other practice location 2

2730 Bryant St
San Francisco, CA 94110-4226
Phone (415) 910-6044

Other practice location 3

2730 Bryant St
San Francisco, CA 94110-4226
Phone (415) 910-6044

Other practice location 4

2121 W Temple St
Los Angeles, CA 90026
Phone (415) 910-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Felton Institute Past Accepting new patients
Soultenders, Inc. PastSince May 21, 2023 Accepting new patients
Alternative Family Services, Inc. Past Accepting new patients
Felton Institute Past Accepting new patients
Alternative Family Services, Inc Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1497298798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264915",
            "telephone_number": "415-910-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N EL CAMINO REAL STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724789",
            "telephone_number": "949-688-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Executive Park Blvd Ste 4900",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941343335",
            "country_code": "US",
            "telephone_number": "415-656-0116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Bryant St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104226",
            "country_code": "US",
            "telephone_number": "415-910-6044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Bryant St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104226",
            "country_code": "US",
            "telephone_number": "415-910-6044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 W Temple St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90026",
            "country_code": "US",
            "telephone_number": "415-910-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVIZURES",
        "first_name": "MIRIAM",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95632",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.