Hazel Doribeth Cornejo Camacho

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT151140 Issued in CA

Practice address

18221 E 17TH St
Santa Ana, CA 92705-2676

Phone

(714) 730-0930

NPI assigned

Oct 3, 2017

Last updated

Feb 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1821508904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052676",
            "telephone_number": "714-730-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052676",
            "telephone_number": "714-730-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Paramount Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902413324",
            "country_code": "US",
            "telephone_number": "562-821-1491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNEJO CAMACHO",
        "first_name": "HAZEL",
        "middle_name": "DORIBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT151140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Yvonne Cordova, RN
• Core Medical Management, Inc
• Coredenza Developmental Center
• Elyse Celeste Corlett, MSW
• Leland Ray Corn, M.A. AMFT
• Wilmer Alexander Cornejo Jr., NONE
• Baylee Allyson Cornell, BEHAVIOR TECHNICIAN
• Cornerstone Caregiving West LLC
• Luana Corona-Guardado, M.S., BCBA, LBA
• Briseida Corona, RN

• Marriage & Family Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.