Active NPI
Verdugo Psychological Associates
- Clinical Neuropsychologist
- Rancho Cucamonga, CA
National Provider Identifier
1053899773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 29643
- Legal business name
- VERDUGO PSYCHOLOGICAL ASSOCIATES
- Practice address
- 10470 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730 - Phone
- (909) 989-4055
- NPI assigned
- Aug 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emin Gharibian, PSYD
- Title
- Owner/ Ceo
- Phone
- (818) 253-1161
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 29643 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 29643 | CA | |
| Forensic Psychologist | 103TF0200X | 29643 | CA |
Addresses
Primary practice location
10470 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730
Mailing address
466 Foothill Blvd # 205
La Canada, CA 91011-3518
Other practice location 1
595 E Colorado Blvd Ste 628
Pasadena, CA 91101-5222
Phone (909) 989-4055
Other practice location 2
711 E Walnut St Ste 909-989
Pasadena, CA 91101-1676
Phone (909) 989-4055
National Provider Directory
National Provider DirectoryLocations
466 Foothill Blvd
#205
La Canada, CA 91011
595 E Colorado Blvd
Ste 628
Pasadena, CA 91101
Phone (626) 231-1987
711 E Walnut St
Ste 909989
Pasadena, CA 91101
Phone (909) 989-4055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1053899773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 FOOTHILL BLVD # 205",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910113518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 FOOTHILL BLVD STE 116",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-989-4055"
}
],
"practiceLocations": [
{
"address_1": "595 E Colorado Blvd Ste 628",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911015222",
"country_code": "US",
"telephone_number": "909-989-4055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "711 E Walnut St Ste 909-989",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911011676",
"country_code": "US",
"telephone_number": "909-989-4055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VERDUGO PSYCHOLOGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-03",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "GHARIBIAN",
"authorized_official_first_name": "EMIN",
"authorized_official_title_or_position": "OWNER/ CEO",
"authorized_official_telephone_number": "818-253-1161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "29643",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "29643",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "29643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.