Individual provider Active NPI

Adriana Soto Mondragon-Hill, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1720508849
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT117095 Issued in CA
Practice address
222 Fashion LN Ste 115
Tustin, CA 92780-3317
Phone
(714) 681-0887
NPI assigned
Jun 20, 2017
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 LMFT117095 CA Primary

Addresses

Primary practice location

222 Fashion LN Ste 115
Tustin, CA 92780-3317

Mailing address

2833 N Bristol St Apt 13B
Santa Ana, CA 92706-1039
Phone (714) 681-0887

Other practice location 1

7291 Talbert Ave
Huntington Beach, CA 92648-1232
Phone (714) 842-6600

Other practice location 2

501 N Brookhurst St Ste 320
Anaheim, CA 92801
Phone (714) 490-7711 ext. 109

Other practice location 3

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612

Other identifiers 1

IdentifierTypeStateIssuer
1417373226OtherMEDI-CAL

Other names 1

  • Mrs. Adriana Mondragon-Hill Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT117095CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1720508849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 N BRISTOL ST APT 13B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061039",
            "telephone_number": "714-681-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 FASHION LN STE 115",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803317",
            "telephone_number": "714-681-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7291 Talbert Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926481232",
            "country_code": "US",
            "telephone_number": "714-842-6600",
            "fax_number": "714-842-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Brookhurst St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92801",
            "country_code": "US",
            "telephone_number": "714-490-7711 x109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902304820",
            "country_code": "US",
            "telephone_number": "310-390-6612",
            "fax_number": "310-398-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO MONDRAGON-HILL",
        "first_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT117095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1417373226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "MONDRAGON-HILL",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.