Serena Gupta, MFC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC48342 Issued in CA

Practice address

2721 E Coast Hwy
Suite #209
Corona del Mar, CA 92625-2109

Phone

(714) 606-4012

NPI assigned

Oct 22, 2011

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divine Bliss, Inc.

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1144795261
  NPD Authorized official

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1619253697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 SAN MATEO ST",
            "address_2": "APT. A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 E COAST HWY",
            "address_2": "SUITE #209",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252109",
            "telephone_number": "714-606-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SERENA",
        "credential": "MFC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojtaba Ghalambor, DDS
• Evelyn Giles
• Caitlin Glenn
• Robert Goldstone, MD
• Marybeth Grant-Beuttler, P.T., PH.D.
• James Hair
• Garrett M Halweg, M.D.
• Hans Jorg Rosler MD LLC
• Harish Yalamanchili MD Inc
• Bree Harsh, ELECTROLYSIS

• Marriage & Family Therapist in Corona del Mar, CA
• Providers in Corona del Mar, 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 Oct 22, 2011; 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.