Active NPI
Guillermo Bernardo Valdez II, M.A, MFTI, P.P.S
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1770818445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 47882
- Practice address
- 1910 Magnolia Ave
Los Angeles, CA 90007-1220 - Phone
- (213) 342-0100
- Fax
- (213) 342-0200
- NPI assigned
- Oct 13, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 47882 | CA | Primary |
Addresses
Primary practice location
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Mailing address
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Phone (213) 342-0100
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 47882 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Counseling & Education Solutions, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Irvine, CA
- NPI 1124572466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1770818445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071220",
"telephone_number": "213-342-0100",
"fax_number": "213-342-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071220",
"telephone_number": "213-342-0100",
"fax_number": "213-342-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "GUILLERMO",
"middle_name": "BERNARDO",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "M.A, MFTI, P.P.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 47882",
"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 Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.