Individual provider Active NPI

Yesika Yasmin Calderon, AMFT

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1639576986
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT119089 Issued in CA
Practice address
6931 Van Nuys Blvd Ste 102
Van Nuys, CA 91405-3980
Phone
(818) 376-0134
Fax
(818) 895-9759
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF80278 CA
Marriage & Family Therapist 106H00000X AMFT119089 CA Primary

Addresses

Primary practice location

6931 Van Nuys Blvd Ste 102
Van Nuys, CA 91405-3980

Mailing address

6931 Van Nuys Blvd Ste 102
Van Nuys, CA 91405-3980
Phone (818) 376-0134

Other practice location 1

10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322
Phone (818) 895-9707

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
AMFT119089CAMDMarriage & Family Therapist
IMF80278CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1639576986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053980",
            "telephone_number": "818-376-0134",
            "fax_number": "818-895-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053980",
            "telephone_number": "818-376-0134",
            "fax_number": "818-895-9759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 Sepulveda Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913453322",
            "country_code": "US",
            "telephone_number": "818-895-9707",
            "fax_number": "818-895-9759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "YESIKA",
        "middle_name": "YASMIN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF80278",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT119089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.