Active NPI
Lucero Velasco-Vidana
- Marriage & Family Therapist
- Huntington Park, CA
National Provider Identifier
1659607430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMFT93312
- Practice address
- 2677 Zoe Ave
Huntington Park, CA 90255-4195 - Phone
- (323) 923-9559
- NPI assigned
- Oct 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMFT93312 | Primary |
Addresses
Primary practice location
2677 Zoe Ave
Huntington Park, CA 90255-4195
Mailing address
1000 Corporate Center Dr
Suite 650
Monterey Park, CA 91754-7600
Phone (323) 526-4016
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1659607430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "SUITE 650",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547600",
"telephone_number": "323-526-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 ZOE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554195",
"telephone_number": "323-923-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO-VIDANA",
"first_name": "LUCERO",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "IMFT93312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.