Active NPI
Isabella Pazmino, MFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1851849244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 115367
- Practice address
- 679 S New Hampshire Ave
3Rd Floor Suite 350
Los Angeles, CA 90005-1355 - Phone
- (213) 385-5100
- Fax
- (213) 807-1995
- NPI assigned
- Sep 14, 2016
- 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 | 115367 | CA | Primary |
Addresses
Primary practice location
679 S New Hampshire Ave
3Rd Floor Suite 350
Los Angeles, CA 90005-1355
Mailing address
1811 Highway A1A Apt 2406
Indian Harbour Beach, FL 32937-3585
Phone (321) 474-0826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115367 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Mental Health | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1851849244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 HIGHWAY A1A APT 2406",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329373585",
"telephone_number": "321-474-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 S NEW HAMPSHIRE AVE",
"address_2": "3RD FLOOR SUITE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051355",
"telephone_number": "213-385-5100",
"fax_number": "213-807-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZMINO",
"first_name": "ISABELLA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "115367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "115367",
"state": "CA"
}
],
"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 Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.