Active NPI
Janet Bedolla
- Professional Counselor
- Pasadena, CA
National Provider Identifier
1679076202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC3278
- Practice address
- 2750 E Washington Blvd
Pasadena, CA 91107-1448 - Phone
- (626) 296-8900
- NPI assigned
- Mar 9, 2018
- Last updated
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC3278 | CA | Primary |
Addresses
Primary practice location
2750 E Washington Blvd
Pasadena, CA 91107-1448
Mailing address
PO Box 448
Williams, CA 95987-0448
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
| License | State | Type | Specialty |
|---|---|---|---|
| APCC3278 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1679076202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 448",
"city": "WILLIAMS",
"state": "CA",
"postal_code": "959870448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071448",
"telephone_number": "626-296-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDOLLA",
"first_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC3278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.