Individual provider Active NPI

Ixchel Carolina Solorzano, M.A.

  • Marriage & Family Therapist
  • La Jolla, CA
National Provider Identifier
1891451332
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128774 Issued in CA
Practice address
7734 Herschel Ave
La Jolla, CA 92037-4433
Phone
(858) 568-7803
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 128774 CA Primary

Addresses

Primary practice location

7734 Herschel Ave
La Jolla, CA 92037-4433

Mailing address

2952 Worden St
San Diego, CA 92110-5708
Phone (408) 529-9784

Other identifiers 1

IdentifierTypeStateIssuer
128774OtherCAPRIVATE PRACTICE EMPLOYEE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Direct

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 Arts

State licenses

LicenseStateTypeSpecialty
128774CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1891451332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105708",
            "telephone_number": "408-529-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 HERSCHEL AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374433",
            "telephone_number": "858-568-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLORZANO",
        "first_name": "IXCHEL",
        "middle_name": "CAROLINA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE EMPLOYEE",
            "identifier": "128774",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice allows for client notes to be shared for supervision verification as well as consultation.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7734 Herschel Ave",
            "city": "LA Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920374433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.