Ana Maria Garcilazo-Estrada, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT114803 Issued in CA

Practice address

312 N Gaffey St Ste 200
San Pedro, CA 90731-1985

Phone

(562) 380-1166

NPI assigned

Oct 8, 2020

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

Electronic endpoints 1

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1629675939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22334 FUNSTON AVE",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161348",
            "telephone_number": "562-665-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N GAFFEY ST STE 200",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311985",
            "telephone_number": "562-380-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCILAZO-ESTRADA",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT114803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anage@resiste.la",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 N Gaffey St Ste 200",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907311985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charla Marleen Garbarini, RN
• Alejandra Garcia
• Cari J Garcia, RN
• Walter Garcia
• William Garcia, M.A.
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garg LLC
• Diana Lenore Garrett, DPT

• Marriage & Family Therapist in San Pedro, CA
• Providers in San Pedro, 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 8, 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.