Individual provider Active NPI

Vilma Abigail Munoz

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1679713283
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92781 Issued in CA
Practice address
5055 Canyon Crest Dr
Riverside, CA 92507-6015
Phone
(951) 384-1108
Fax
(951) 241-4941
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 92781 CA Primary

Addresses

Primary practice location

5055 Canyon Crest Dr
Riverside, CA 92507-6015

Mailing address

PO Box 682
Moreno Valley, CA 92556-0682
Phone (951) 486-1615

Other practice location 1

1585 S D St
Suite 101
San Bernardino, CA 92408-3257
Phone (909) 388-2222

Other practice location 2

41690 Enterprise Cir N
Temecula, CA 92590
Phone (951) 384-1108

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
92781CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1679713283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925560682",
            "telephone_number": "951-486-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 CANYON CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076015",
            "telephone_number": "951-384-1108",
            "fax_number": "951-241-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 S D St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083257",
            "country_code": "US",
            "telephone_number": "909-388-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41690 Enterprise Cir N",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "92590",
            "country_code": "US",
            "telephone_number": "951-384-1108",
            "fax_number": "951-281-4941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "VILMA",
        "middle_name": "ABIGAIL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.