Laura Patricia Vega Granados, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105386 Issued in CA

Practice address

149 S Mednik Ave # 201
Los Angeles, CA 90022-1606

Phone

(323) 981-9714

NPI assigned

Mar 10, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Laura Patricia Vega Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Bellflower, CA
  • NPI 1043242555
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Alma Family Services

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1184067589
  NPD (past)
• Alma Family Services

  • Community/Behavioral Health Agency
  • Huntington Park, CA
  • NPI 1700249893
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1750707105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR STE 650",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547639",
            "telephone_number": "323-526-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S MEDNIK AVE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-981-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA GRANADOS",
        "first_name": "LAURA",
        "middle_name": "PATRICIA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 78916",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "VEGA",
            "middle_name": "PATRICIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Azeem Vecchio
• Natalia Marie Vecerek, MD
• Dina Vedadi
• Sylvia Vedamani
• Molly Veera, AMFT
• Angelita Vega Loeza
• Marie Vega-Salazar
• Kathya Vega-Tovar, LCSW, PPSC
• Adamaris Vega
• Aldo Vega

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.