Active NPI
Felipe Anzaldo
- Counselor
- Santa Monica, CA
National Provider Identifier
1770117657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2644 30TH St Ste 100
Santa Monica, CA 90405-3051 - Phone
- (310) 314-6200
- NPI assigned
- Feb 28, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2644 30TH St Ste 100
Santa Monica, CA 90405-3051
Mailing address
311 Celia St
Pomona, CA 91768-2733
Phone (909) 277-8717
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": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1770117657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 CELIA ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917682733",
"telephone_number": "909-277-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2644 30TH ST STE 100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053051",
"telephone_number": "310-314-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANZALDO",
"first_name": "FELIPE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.