Active NPI
Mayra Leyva-Gutierrez
- Marriage & Family Therapist
- Bakersfield, CA
National Provider Identifier
1932602836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136402
- Practice address
- 2621 Oswell St
Bakersfield, CA 93306-3172 - Phone
- (661) 868-6840
- NPI assigned
- Mar 16, 2018
- Last updated
- Feb 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 113847 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 136402 | CA | Primary |
Addresses
Primary practice location
2621 Oswell St
Bakersfield, CA 93306-3172
Mailing address
PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-6840
Other practice location 1
100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Phone (626) 395-7100
Other practice location 2
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 385-5100
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 |
|---|---|---|---|
| 136402 | CA | MD | Marriage & Family Therapist |
| 113847 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1932602836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021000",
"telephone_number": "661-868-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 OSWELL ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933063172",
"telephone_number": "661-868-6840"
}
],
"practiceLocations": [
{
"address_1": "100 W Walnut St Ste 375",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911240001",
"country_code": "US",
"telephone_number": "626-395-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 W Temple St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264915",
"country_code": "US",
"telephone_number": "213-385-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEYVA-GUTIERREZ",
"first_name": "MAYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "113847",
"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": "136402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.