Individual provider Active NPI

Carolyn Ann Bojorquez, MA MFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1659597086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 25341 Issued in CA
Practice address
732 W 9TH St
Suite 202
San Pedro, CA 90731-3634
Phone
(310) 547-5999
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC 25341 CA Primary

Addresses

Primary practice location

732 W 9TH St
Suite 202
San Pedro, CA 90731-3634

Mailing address

11 Mustang Rd
Rancho Palos Verdes, CA 90275-5250
Phone (310) 547-5999

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
MFC 25341CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659597086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MUSTANG RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755250",
            "telephone_number": "310-547-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 W 9TH ST",
            "address_2": "SUITE 202",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313634",
            "telephone_number": "310-547-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJORQUEZ",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA  MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 25341",
            "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 Jul 8, 2007; 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.