Active NPI
Eduardo Quintanilla, MFT TRAUMA FOCUS
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1912650532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 142213
- Practice address
- 8019 Compton Ave
Los Angeles, CA 90001-3409 - Phone
- (323) 586-7333
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 142213 | CA | Primary |
Addresses
Primary practice location
8019 Compton Ave
Los Angeles, CA 90001-3409
Mailing address
6221 Templeton St
Huntington Park, CA 90255-3022
Phone (818) 802-0729
Other practice location 1
1157 Lemoyne St
Los Angeles, CA 90026-3206
Phone (213) 483-6335
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 |
|---|---|---|---|
| 142213 | CA | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro del Pueblo, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1174727515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1912650532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 TEMPLETON ST",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902553022",
"telephone_number": "818-802-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 COMPTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900013409",
"telephone_number": "323-586-7333"
}
],
"practiceLocations": [
{
"address_1": "1157 Lemoyne St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900263206",
"country_code": "US",
"telephone_number": "213-483-6335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTANILLA",
"first_name": "EDUARDO",
"credential": "MFT TRAUMA FOCUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "142213",
"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 Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.