Active NPI
Jasmin Zazueta
- Marriage & Family Therapist
- San Fernando, CA
National Provider Identifier
1821675166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT139728
- Practice address
- 566 S Brand Blvd
San Fernando, CA 91340-4002 - Phone
- (818) 898-0223
- NPI assigned
- Mar 24, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT139728 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
566 S Brand Blvd
San Fernando, CA 91340-4002
Mailing address
566 S Brand Blvd
San Fernando, CA 91340-4002
Phone (818) 898-0223
Other practice location 1
9650 Zelzah Ave
Northridge, CA 91325-2003
Phone (818) 993-9311
Other names 1
- Jasmin Beatriz Amezcua
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 |
|---|---|---|---|
| AMFT139728 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro de Amistad, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- San Fernando, CA
- NPI 1184740623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1821675166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 S BRAND BLVD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404002",
"telephone_number": "818-898-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 S BRAND BLVD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404002",
"telephone_number": "818-898-0223"
}
],
"practiceLocations": [
{
"address_1": "9650 Zelzah Ave",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913252003",
"country_code": "US",
"telephone_number": "818-993-9311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAZUETA",
"first_name": "JASMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT139728",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMIN",
"last_name": "AMEZCUA",
"middle_name": "BEATRIZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.