Active NPI
Cristina Maria Perez, LMFT
- Marriage & Family Therapist
- San Gabriel, CA
National Provider Identifier
1033497334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90544
- Practice address
- 425 W Valley Blvd Ste 104-253
San Gabriel, CA 91776-5707 - Phone
- (818) 536-9002
- NPI assigned
- Aug 3, 2011
- Last updated
- Jan 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 90544 | CA | Primary |
Addresses
Primary practice location
425 W Valley Blvd Ste 104-253
San Gabriel, CA 91776-5707
Mailing address
425 W Valley Blvd Ste 104-253
San Gabriel, CA 91776-5707
Phone (818) 536-9002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7368 | Other | CA | MEDI-CAL |
| 7708 | Other | CA | MEDI-CAL |
| 7184 | Other | CA | MEDI-CAL |
| 7667 | Other | CA | MEDI-CAL |
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 |
|---|---|---|---|
| 90544 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C&S Child, Adult, and Family Therapy Services Corporation | Marriage & Family Therapist | Current | Accepting new patients |
Locations
252 W Fairview Ave
San Gabriel, CA 91776
425 W Valley Blvd
Ste 104253
San Gabriel, CA 91776
Phone (818) 536-9002
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- San Gabriel, CA
- NPI 1558718296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1033497334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W VALLEY BLVD STE 104-253",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917765707",
"telephone_number": "818-536-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W VALLEY BLVD STE 104-253",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917765707",
"telephone_number": "818-536-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CRISTINA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7368",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7708",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7667",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.