Active NPI
Jenniffer Yesenia Mogrovejo, M.A. MFT
- Marriage & Family Therapist
- Lomita, CA
National Provider Identifier
1740304369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC51590
- Practice address
- 2081 Palos Verdes Dr N
Lomita, CA 90717-3701 - Phone
- (310) 517-3426
- NPI assigned
- Mar 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF#50999 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC51590 | CA | Primary |
Addresses
Primary practice location
2081 Palos Verdes Dr N
Lomita, CA 90717-3701
Mailing address
3001 Petite CT
Unit 2
Los Angeles, CA 90039-2337
Phone (626) 376-0885
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF#50999 | CA | MD | Marriage & Family Therapist |
| MFC51590 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1740304369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 PETITE CT",
"address_2": "UNIT 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392337",
"telephone_number": "626-376-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 PALOS VERDES DR N",
"city": "LOMITA",
"state": "CA",
"postal_code": "907173701",
"telephone_number": "310-517-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGROVEJO",
"first_name": "JENNIFFER",
"middle_name": "YESENIA",
"name_prefix": "Ms.",
"credential": "M.A. MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF#50999",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC51590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lomita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.