Gina-Marie Cimmarrusti Porter, MFTI, AT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 57337 Issued in CA

Practice address

22985 Ditz LN
Lake Forest, CA 92630-4112

Phone

(949) 701-0598

NPI assigned

Aug 6, 2007

Last updated

Aug 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1962693762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22985 DITZ LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304112",
            "telephone_number": "949-701-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22985 DITZ LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304112",
            "telephone_number": "949-701-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "GINA-MARIE",
        "middle_name": "CIMMARRUSTI",
        "credential": "MFTI, AT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 57337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Plaster, PT
• Joan Terry Plevin, PT, DC
• Maeralyn Pogoso
• Oana-Diana Popescu, PA
• Aaron Porter
• Portola Anesthesia Services LLC
• Portola Medical Services PC (Clineva Urgent Care)
• Gilbert M Portugal, D.C.
• Megan Elizabeth Poupard, LMFT
• Sam Pourbabak, MD

• Marriage & Family Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.