Organization Active NPI

Verdugo Psychological Associates

  • Clinical Neuropsychologist
  • Rancho Cucamonga, CA
National Provider Identifier
1053899773
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
29643 Issued in CA
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

Updated by the provider on Jun 4, 2019

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 29643 CA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 29643 CA
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.