Active NPI
Cybele Zavala
- Mental Health Counselor
- Duarte, CA
National Provider Identifier
1891009148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW 30732
- Practice address
- 1801 Huntington Dr Ste 200
Duarte, CA 91010-2687 - Phone
- (626) 301-9700
- NPI assigned
- Jul 28, 2010
- Last updated
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW 30732 | CA | Primary |
Addresses
Primary practice location
1801 Huntington Dr Ste 200
Duarte, CA 91010-2687
Mailing address
1749 S Bundy Dr
Los Angeles, CA 90025-3801
Phone (310) 820-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-1647832 | Other | CA | TAX ID # |
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 |
|---|---|---|---|
| ASW 30732 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1891009148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 S BUNDY DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253801",
"telephone_number": "310-820-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HUNTINGTON DR STE 200",
"city": "DUARTE",
"state": "CA",
"postal_code": "910102687",
"telephone_number": "626-301-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALA",
"first_name": "CYBELE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW 30732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "95-1647832",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.