Individual provider Active NPI

Marlene Garza, PSYD

  • Clinical Neuropsychologist
  • Los Angeles, CA
National Provider Identifier
1528541554
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
31888 Issued in CA
Practice address
7381 La Tijera Blvd Unit 45312
Los Angeles, CA 90045-7017
Phone
(310) 948-3182
NPI assigned
Sep 14, 2018
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 31888 CA Primary
Psychologist 103T00000X 31888 CA

Addresses

Primary practice location

7381 La Tijera Blvd Unit 45312
Los Angeles, CA 90045-7017

Mailing address

7381 La Tijera Blvd Unit 45312
Los Angeles, CA 90045-7017
Phone (310) 948-3182

Other practice location 1

1000 W Carson St
Torrance, CA 90502-2059
Phone (310) 222-5676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.garza@marlenegarzapsyd.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
31888CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1528541554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 LA TIJERA BLVD UNIT 45312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900457017",
            "telephone_number": "310-948-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 LA TIJERA BLVD UNIT 45312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900457017",
            "telephone_number": "310-948-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022059",
            "country_code": "US",
            "telephone_number": "310-222-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "31888",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.garza@marlenegarzapsyd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7381 La Tijera Blvd Unit 45312",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900457017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 21, 2020; 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.