Grant Lavigna, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 46649 Issued in CA

Practice address

155 Granada St
Suite N
Camarillo, CA 93010-7866

Phone

(805) 987-3162

Fax

(805) 383-1502

NPI assigned

Feb 28, 2007

Last updated

Mar 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1558498089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST",
            "address_2": "SUITE N",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107866",
            "telephone_number": "805-987-3162",
            "fax_number": "805-383-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST",
            "address_2": "SUITE N",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107866",
            "telephone_number": "805-987-3162",
            "fax_number": "805-383-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNA",
        "first_name": "GRANT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.