Active NPI
Ixchel Carolina Solorzano, M.A.
- Marriage & Family Therapist
- La Jolla, CA
National Provider Identifier
1891451332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128774
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128774 | Other | CA | PRIVATE PRACTICE EMPLOYEE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 128774 | CA | MD | Marriage & 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.