Active NPI
Juana Estrella Vizcarra Rocha, M.A
- Marriage & Family Therapist
- Upland, CA
National Provider Identifier
1902362205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111740
- Practice address
- 1126 W Foothill Blvd Ste 150
Upland, CA 91786-3778 - Phone
- (909) 296-6747
- NPI assigned
- Feb 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1715 | CA | |
| Marriage & Family Therapist | 106H00000X | 111740 | CA | Primary |
Addresses
Primary practice location
1126 W Foothill Blvd Ste 150
Upland, CA 91786-3778
Mailing address
11875 Pigeon Pass Rd
Suite B13 PMB #314
Moreno Valley, CA 92557
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 |
|---|---|---|---|
| 1715 | CA | MD | Professional Counselor |
| 111740 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1902362205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 PIGEON PASS RD",
"address_2": "SUITE B13 PMB #314",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 W FOOTHILL BLVD STE 150",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863778",
"telephone_number": "909-296-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZCARRA ROCHA",
"first_name": "JUANA",
"middle_name": "ESTRELLA",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "1715",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.