Active NPI
Jamie R. Vazquez
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1528351897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 53055
- Practice address
- 1522 E 102ND St
Los Angeles, CA 90002-3338 - Phone
- (323) 523-8689
- NPI assigned
- May 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 60493 | CA | |
| Marriage & Family Therapist | 106H00000X | 53055 | CA | Primary |
Addresses
Primary practice location
1522 E 102ND St
Los Angeles, CA 90002-3338
Mailing address
1522 E 102ND St
Los Angeles, CA 90002-3338
Phone (323) 523-8689
Other practice location 1
19701 Hamilton Ave Ste 160
Torrance, CA 90502-1313
Phone (310) 817-2177
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 |
|---|---|---|---|
| IMF 60493 | CA | MD | Mental Health Counselor |
| 53055 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528351897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 E 102ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023338",
"telephone_number": "323-523-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 E 102ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023338",
"telephone_number": "323-523-8689"
}
],
"practiceLocations": [
{
"address_1": "19701 Hamilton Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905021313",
"country_code": "US",
"telephone_number": "310-817-2177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "JAMIE",
"middle_name": "R.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 60493",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "53055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.