Active NPI
Elvia Gonzales Rojas, MFT
- Marriage & Family Therapist
- Fontana, CA
National Provider Identifier
1497877096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 79080
- Practice address
- 17046 Marygold Ave
Fontana, CA 92335-1722 - Phone
- (951) 956-9520
- NPI assigned
- Apr 4, 2007
- 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 | 79080 | CA | Primary |
Addresses
Primary practice location
17046 Marygold Ave
Fontana, CA 92335-1722
Mailing address
739 Sweet Clover Loop
San Jacinto, CA 92582
Phone (951) 956-9520
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
| Direct Messaging Address | Elvia.G.Rojas@kp.org |
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 |
|---|---|---|---|
| 79080 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1497877096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 SWEET CLOVER LOOP",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "92582",
"telephone_number": "951-956-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17046 MARYGOLD AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923351722",
"telephone_number": "951-956-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "ELVIA",
"middle_name": "GONZALES",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "79080",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1288 Camino Del Rio N",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921081511",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Elvia.G.Rojas@kp.org",
"affiliation": "N",
"address_1": "17046 Marygold Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923351722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.