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JACQUELINE VARGAS
NPI 1104221142
Marriage & Family Therapist in Los Angeles, CA

Active since November 04, 2014PECOS Enrolled
3200 MOTOR AVE, LOS ANGELES, CA 90034(310) 836-1223 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2026, May 21, 2021, Apr 25, 2019 and 3 more (6 updates tracked since 2016).

About Jacqueline Vargas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE VARGAS (NPI 1104221142) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT112969) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104221142
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE VARGAS
Location Address3200 MOTOR AVELos Angeles, CA 90034-3710
Mailing Address6931 Van Nuys Blvd Ste 102Van Nuys, CA 91405-3980 · (818) 376-0134
Phone(310) 836-1223
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 4, 2014
Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1104221142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · LMFT112969✔ Licensed in CA · 112969✔ Licensed in CA · AMFT71331✔ Licensed in CA · IMF71331
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3200 MOTOR AVE, Los Angeles, CA 90034
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Vargas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224526793
PECOS Enrollment IDI20251024003341
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Vargas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.1 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAREN YVONNE VINES
Rehabilitation Practitioner
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223
JESSICA BERGER
Rehabilitation Practitioner
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223
BRENDA CENTENO
Social Worker (School)
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223
THELMA RODRIGUEZ
Student in an Organized Health Care Education/Training Program
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223
FRANCHESCA SOTO
Speech-Language Pathologist
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223
KATHLEEN ARELY GUIDO PEREZ
Student in an Organized Health Care Education/Training Program
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223
NORMA SUSANA LOPEZ
Rehabilitation Practitioner
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 466-5695
TRACI P LEVI LCSW
Social Worker (Clinical)
3200 MOTOR AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 836-1223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Vargas's NPI number?

The NPI number for Jacqueline Vargas is 1104221142. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Jacqueline Vargas located?

Jacqueline Vargas practices at 3200 Motor Ave, Los Angeles, CA 90034. The listed phone number is (310) 836-1223.

What is Jacqueline Vargas's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Vargas enrolled in Medicare?

Yes. Jacqueline Vargas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Vargas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Vargas reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Vargas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Vargas was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.