Active NPI
Cristina Pulido
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1013665033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 147559
- Practice address
- 8755 Aero Dr Ste 230
San Diego, CA 92123-1750 - Phone
- (858) 256-2180
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 147559 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 107194 | CA | |
| Rehabilitation Practitioner | 225400000X | CA | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
8755 Aero Dr Ste 230
San Diego, CA 92123-1750
Mailing address
8755 Aero Dr Ste 230
San Diego, CA 92123-1750
Phone (858) 256-2180
Other practice location 1
420 N El Camino Real
Oceanside, CA 92058-7868
Phone (760) 212-4311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107194 | CA | MD | Mental Health Counselor |
| 147559 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Life Counseling & Consulting Inc | Current | Accepting new patients | |
| New Alternatives, Incorporated | Past | Accepting new patients |
Locations
420 N El Camino Real
Oceanside, CA 92058
Phone (760) 212-4311
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oceanside, CA
- NPI 1255930533
-
- Adolescent and Children Mental Health Clinic/Center
- San Diego, CA
- NPI 1023221470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1013665033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8755 AERO DR STE 230",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231750",
"telephone_number": "858-256-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8755 AERO DR STE 230",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231750",
"telephone_number": "858-256-2180"
}
],
"practiceLocations": [
{
"address_1": "420 N El Camino Real",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920587868",
"country_code": "US",
"telephone_number": "760-212-4311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULIDO",
"first_name": "CRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "147559",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "107194",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.