Individual provider Active NPI

Samantha Rose Noriega, M.S

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1861709123
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT110760 Issued in CA
Practice address
4760 Sepulveda Blvd
Culver City, CA 90230
Phone
(310) 390-6612
Fax
(310) 398-5690
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X IMF78770 CA
Marriage & Family Therapist 106H00000X LMFT110760 CA Primary

Addresses

Primary practice location

4760 Sepulveda Blvd
Culver City, CA 90230

Mailing address

1540 E Colorado St
Glendale, CA 91205-1514
Phone (818) 244-7257

Other practice location 1

2116 Arlington Ave Ste 200
Los Angeles, CA 90018
Phone (323) 737-3900

Other practice location 2

1433 S Robertson Blvd
Los Angeles, CA 90035-3414
Phone (310) 785-2121 ext. 217

Other practice location 3

73 W Sierra Madre Blvd Ste 100
Sierra Madre, CA 91024-2462
Phone (626) 364-6798

Other practice location 4

73 W Sierra Madre Blvd Ste 100
Sierra Madre, CA 91024
Phone (626) 364-6798

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF78770CAMDMarriage & Family Therapist
LMFT110760CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1861709123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051514",
            "telephone_number": "818-244-7257",
            "fax_number": "818-243-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-390-6612",
            "fax_number": "310-398-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Arlington Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90018",
            "country_code": "US",
            "telephone_number": "323-737-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 S Robertson Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900353414",
            "country_code": "US",
            "telephone_number": "310-785-2121 x217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 W Sierra Madre Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sierra Madre",
            "state": "CA",
            "postal_code": "910242462",
            "country_code": "US",
            "telephone_number": "626-364-6798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 W Sierra Madre Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sierra Madre",
            "state": "CA",
            "postal_code": "91024",
            "country_code": "US",
            "telephone_number": "626-364-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORIEGA",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF78770",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT110760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.