Active NPI
Maria G Estrada-Lopez, AMFT, APCC
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1770150450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122080
- Practice address
- 2011 S Rimpau Blvd
Los Angeles, CA 90016-1513 - Phone
- (209) 670-3604
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122080 | CA | Primary |
Addresses
Primary practice location
2011 S Rimpau Blvd
Los Angeles, CA 90016-1513
Mailing address
PO Box 78613
Los Angeles, CA 90016-0613
Phone (209) 670-3604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122080 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1770150450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78613",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900160613",
"telephone_number": "209-670-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 S RIMPAU BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900161513",
"telephone_number": "209-670-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA-LOPEZ",
"first_name": "MARIA",
"middle_name": "G",
"credential": "AMFT, APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.