Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Manuel Raygoza

Individual provider Marriage & Family Therapist · NPI 1790042190

Juan Manuel Raygoza is a Marriage and Family Therapist in Long Beach, California. Qualified in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1301 Pine Ave
Long Beach, CA 90813
Phone: (562) 595-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1200 Wilshire Blvd, Los Angeles, CA 90017-1908 — (213) 481-7464
  • 1731 E 120th St, Los Angeles, CA 90059-3051 — (323) 563-5863

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT105005 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence IMF70106 (CA)

Record details

NPI number1790042190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESFebruary 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Long Beach