Active NPI
Jovanna Borquez, M.S
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1891246740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116480
- Practice address
- 484 S Gage Ave
Los Angeles, CA 90063-1523 - Phone
- (310) 409-5854
- NPI assigned
- Oct 16, 2016
- Last updated
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 116480 | CA | Primary |
Addresses
Primary practice location
484 S Gage Ave
Los Angeles, CA 90063-1523
Mailing address
484 S Gage Ave
Los Angeles, CA 90063-1523
Phone (310) 409-5854
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116480 | CA | MD | Marriage & Family Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1891246740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 S GAGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900631523",
"telephone_number": "310-409-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 S GAGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900631523",
"telephone_number": "310-409-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORQUEZ",
"first_name": "JOVANNA",
"name_prefix": "Ms.",
"credential": "M.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-16",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116480",
"primary": true
}
],
"identifiers": [],
"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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.