Vida Wholeness Family Therapy Corp

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

VIDA WHOLENESS FAMILY THERAPY CORP

Practice address

1875 W Redondo Beach Blvd Ste 303
Gardena, CA 90247-3644

Phone

(424) 262-2099

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Maribel Guerra, LCSWNPI 1710147194

Title

Ceo

Phone

(424) 262-2099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maribel Guerra, LCSW

  • Social Worker
  • Gardena, CA
  • NPI 1710147194
  NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1760944227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 FLORENCE AVE STE 32",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403896",
            "telephone_number": "424-262-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD STE 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473644",
            "telephone_number": "424-262-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8050 Florence Ave Ste 32",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "90240",
            "country_code": "US",
            "telephone_number": "424-262-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900632807",
            "country_code": "US",
            "telephone_number": "424-262-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIDA WHOLENESS FAMILY THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-262-2099",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavio Vergara
• Jeffery Verner
• Versatile Automated Services
• Veterans Home Healthcare Partners
• Edward Vicente
• Ara Vidal
• Lesley Vidauri
• Beatriz Abigail Vidaurre
• Sergio Viera
• Justin Vigil

• Social Worker in Gardena, CA
• Providers in Gardena, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.