Active NPI
Kerry L Guizzo, LMFT
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1801045463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 60183
- Practice address
- 28991 Old Town Front St Ste 102
Temecula, CA 92590-2858 - Phone
- (951) 375-6587
- Fax
- (951) 595-4911
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 60183 | CA | Primary |
Addresses
Primary practice location
28991 Old Town Front St Ste 102
Temecula, CA 92590-2858
Mailing address
31819 Via Campanario
Temecula, CA 92592-3614
Phone (951) 375-6587
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 |
|---|---|---|---|
| 60183 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1801045463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31819 VIA CAMPANARIO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923614",
"telephone_number": "951-375-6587",
"fax_number": "951-375-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28991 OLD TOWN FRONT ST STE 102",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902858",
"telephone_number": "951-375-6587",
"fax_number": "951-595-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIZZO",
"first_name": "KERRY",
"middle_name": "L",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "60183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.