Active NPI
Angelica Guajardo, FT, LMFT
- Marriage & Family Therapist
- La Quinta, CA
National Provider Identifier
1598912982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 51740
- Practice address
- 78030 Calle Barcelona Ste D
La Quinta, CA 92253-2996 - Phone
- (760) 610-9650
- NPI assigned
- Aug 27, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51740 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 51740 | CA | Primary |
Addresses
Primary practice location
78030 Calle Barcelona Ste D
La Quinta, CA 92253-2996
Mailing address
78030 Calle Barcelona Ste D
La Quinta, CA 92253-2996
Phone (760) 702-8856
Other practice location 1
44199 Monroe St Ste C
Indio, CA 92201-3094
Phone (760) 848-9823
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 |
|---|---|---|---|
| 51740 | CA | MD | Marriage & Family Therapist |
| MFC 51740 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1598912982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78030 CALLE BARCELONA STE D",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532996",
"telephone_number": "760-702-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78030 CALLE BARCELONA STE D",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532996",
"telephone_number": "760-610-9650"
}
],
"practiceLocations": [
{
"address_1": "44199 Monroe St Ste C",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922013094",
"country_code": "US",
"telephone_number": "760-848-9823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAJARDO",
"first_name": "ANGELICA",
"name_prefix": "Ms.",
"credential": "FT, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51740",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 51740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.