Individual provider Active NPI

Johnny A. Carrera, MFT INTERN

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1952584013
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
10221 Compton Ave
Los Angeles, CA 90002-2804
Phone
(213) 385-5100
Fax
(323) 566-1638
NPI assigned
Dec 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

10221 Compton Ave
Los Angeles, CA 90002-2804

Mailing address

8760 Parkcliff St
Downey, CA 90242-5232
Phone (323) 481-0653

Other identifiers 1

IdentifierTypeStateIssuer
9999AOtherCADMH

Other names 1

  • Mr. Johnny A. Carrera Professional name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1952584013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 PARKCLIFF ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902425232",
            "telephone_number": "323-481-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022804",
            "telephone_number": "213-385-5100",
            "fax_number": "323-566-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "JOHNNY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH",
            "identifier": "9999A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "CARRERA",
            "middle_name": "A.",
            "prefix": "MR.",
            "credential": "54015",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.