Active NPI
Jayleen Bazua Munoz
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1912770223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 142424
- Practice address
- 3400 Central Ave Ste 310
Riverside, CA 92506-2181 - Phone
- (951) 465-4996
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 142424 | CA | Primary |
Addresses
Primary practice location
3400 Central Ave Ste 310
Riverside, CA 92506-2181
Mailing address
1419 Giosetta St
Perris, CA 92571-8310
Phone (951) 464-7793
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 |
|---|---|---|---|
| 142424 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754697600000",
"number": "1912770223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 GIOSETTA ST",
"city": "PERRIS",
"state": "CA",
"postal_code": "925718310",
"telephone_number": "951-464-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CENTRAL AVE STE 310",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062181",
"telephone_number": "951-465-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZUA MUNOZ",
"first_name": "JAYLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2025-08-09",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "142424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.