Active NPI
Veronica Vasquez, MFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1831346030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 57147
- Practice address
- 3605 Long Beach Blvd
Suite 110
Long Beach, CA 90807-4013 - Phone
- (562) 427-2006
- NPI assigned
- Aug 19, 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 | 57147 | CA | Primary |
Addresses
Primary practice location
3605 Long Beach Blvd
Suite 110
Long Beach, CA 90807-4013
Mailing address
16713 Chaparral Ave
Cerritos, CA 90703-2949
Phone (310) 218-6362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57147 | Other | CA | MFT INTERN # (BBS) |
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 |
|---|---|---|---|
| 57147 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1831346030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16713 CHAPARRAL AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032949",
"telephone_number": "310-218-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD",
"address_2": "SUITE 110",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074013",
"telephone_number": "562-427-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "VERONICA",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "57147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT INTERN # (BBS)",
"identifier": "57147",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.