Active NPI
Mikaela Lopez
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1740746510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 301 The City Dr S
Orange, CA 92868-3205 - Phone
- (714) 935-6363
- Fax
- (714) 935-8112
- NPI assigned
- Feb 15, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CA | Primary |
Addresses
Primary practice location
301 The City Dr S
Orange, CA 92868-3205
Mailing address
16675 Slate Dr Unit 1234
Chino Hills, CA 91709-7428
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1740746510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16675 SLATE DR UNIT 1234",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917097428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683205",
"telephone_number": "714-935-6363",
"fax_number": "714-935-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MIKAELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.