Individual provider Active NPI

Cristina Pulido

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1013665033
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
147559 Issued in CA
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

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
107194CAMDMental Health Counselor
147559CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Life Counseling & Consulting Inc CurrentSince Mar 1, 2022 Accepting new patients
New Alternatives, Incorporated PastSince Sep 10, 2023 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.

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.

Verify at the official NPI Registry.