Individual provider Active NPI

Maria Torrecillas

  • Counselor
  • Los Angeles, CA
National Provider Identifier
1669049748
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
14723-RAC Issued in CA
Practice address
4099 N Mission Rd
Los Angeles, CA 90032-2697
Phone
(323) 221-1746
Fax
(323) 221-5176
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 14723-RAC CA Primary

Addresses

Primary practice location

4099 N Mission Rd
Los Angeles, CA 90032-2697

Mailing address

4917 Lincoln Ave
Los Angeles, CA 90042-2249
Phone (323) 630-3631

Other identifiers 1

IdentifierTypeStateIssuer
14723-RACOtherCAADDICTION COUNSELOR CERTIFICATION BOARD OF CALIFORNIA

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
14723-RACCAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1669049748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422249",
            "telephone_number": "323-630-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322697",
            "telephone_number": "323-221-1746",
            "fax_number": "323-221-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRECILLAS",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "14723-RAC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION COUNSELOR CERTIFICATION BOARD OF CALIFORNIA",
            "identifier": "14723-RAC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.