Individual provider Active NPI

Claudia Maria Rios-Gastelum, MA

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1023458239
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 97284 Issued in CA
Practice address
3510 Newton Ave
Bungalow 103
San Diego, CA 92113-3118
Phone
(619) 344-6229
Fax
(619) 344-6247
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 97284 CA Primary

Addresses

Primary practice location

3510 Newton Ave
Bungalow 103
San Diego, CA 92113-3118

Mailing address

PO Box 600994
San Diego, CA 92160-0994
Phone (858) 247-1774

Other names 1

  • Claudia Maria Rios Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
97284CAMDClinical Social Worker
LMFT 97284CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Mamas Family Counseling, a Professional Corporation Marriage & Family Therapist Current Accepting new patients

Locations

2831 Camino del Rio S
Ste 206
San Diego, CA 92108
Phone (480) 215-6706

Organizations & group practices 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1023458239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600994",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921600994",
            "telephone_number": "858-247-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 NEWTON AVE",
            "address_2": "BUNGALOW 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133118",
            "telephone_number": "619-344-6229",
            "fax_number": "619-344-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS-GASTELUM",
        "first_name": "CLAUDIA",
        "middle_name": "MARIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 97284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "RIOS",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.