Individual provider Active NPI

Arturo Mendiola Jr., LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1619672409
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138567 Issued in CA
Practice address
916 N Western Ave Ste 205
San Pedro, CA 90732-2435
Phone
(310) 957-2099
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138567 CA Primary

Addresses

Primary practice location

916 N Western Ave Ste 205
San Pedro, CA 90732-2435

Mailing address

570 E 64TH St Apt 15
Long Beach, CA 90805-2364

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
138567CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Now Licensed Clinical Social Work, Inc. CurrentSince Apr 9, 2023 Accepting new patients

Locations

916 N Western Ave
Ste 210
San Pedro, CA 90732
Phone (310) 776-7406

916 N Western Ave
Ste 205
San Pedro, CA 90732
Phone (310) 779-3654

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1619672409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E 64TH ST APT 15",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N WESTERN AVE STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322435",
            "telephone_number": "310-957-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "ARTURO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.