NPIMap

Organization Active NPI

Soma Therapy Clinic

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1962874313
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47737 Issued in CA
Legal business name
SOMA THERAPY CLINIC
Practice address
2057 Wilshire Boulevard
Suite 801
Los Angeles, CA 90057
Phone
(818) 455-4130
NPI assigned
Oct 26, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Mrs. Maria Guadalupe Alfaro, LMFTNPI 1427181064
Title
Co-Founder
Phone
(818) 744-7256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 47737 CA Primary

Addresses

Primary practice location

2057 Wilshire Boulevard
Suite 801
Los Angeles, CA 90057

Mailing address

2057 Wilshire Boulevard
Suite 801
Los Angeles, CA 90057
Phone (818) 455-4130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1962874313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 WILSHIRE BOULEVARD",
            "address_2": "SUITE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "818-455-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 WILSHIRE BOULEVARD",
            "address_2": "SUITE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "818-455-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "818-744-7256",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47737",
            "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 Oct 26, 2015; 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.