Individual provider Active NPI

Isolina Ixcaragua, LMFT

  • Marriage & Family Therapist
  • Whittier, CA
National Provider Identifier
1700948510
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46442 Issued in CA
Practice address
11019 Reichling LN
Whittier, CA 90606-1508
Phone
(909) 919-6336
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2023

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 46442 CA Primary

Addresses

Primary practice location

11019 Reichling LN
Whittier, CA 90606-1508

Mailing address

511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229
Phone (909) 919-6336

Other names 1

  • Lina Ixcaragua Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123002094 CA Practitioner - Marriage and Family Therapist 2769911569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Social Resources Connection IncGroup PAC ID 7719316066, 2 clinicians

Practice addresses (Care Compare)

23945 Sunnymead Blvd
Suite 3
Moreno Valley, CA 92553-3025
Phone (562) 200-4381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Social Resources Connection Inc Marriage & Family Therapist CurrentSince Dec 1, 2024 Accepting new patients
Social Resources Network, Inc. Marriage & Family Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

2601 W Ball Rd
Ste 103
Anaheim, CA 92804

23945 Sunnymead Blvd
Ste 3
Moreno Valley, CA 92553
Phone (562) 200-4381

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1700948510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N BROOKHURST ST STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015229",
            "telephone_number": "909-919-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 REICHLING LN",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061508",
            "telephone_number": "909-919-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IXCARAGUA",
        "first_name": "ISOLINA",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "IXCARAGUA",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.