Active NPI
Valeria Moore-Medina, M.S.
- Marriage & Family Therapist
- Alpine, CA
National Provider Identifier
1063653970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 118977
- Practice address
- 2271 Alpine Blvd Ste a
Alpine, CA 91901-1101 - Phone
- (888) 688-0248
- NPI assigned
- Mar 23, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 118977 | CA | Primary |
Addresses
Primary practice location
2271 Alpine Blvd Ste a
Alpine, CA 91901-1101
Mailing address
5638 Lake Murray Blvd # 190
La Mesa, CA 91942-1929
Phone (619) 248-9875
Other practice location 1
5005 Texas St Ste 203
San Diego, CA 92108-3723
Phone (619) 692-0727
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118977 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Care Group, a Psychological Professional Corporation | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Alpine, CA
- NPI 1275177982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1063653970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5638 LAKE MURRAY BLVD # 190",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421929",
"telephone_number": "619-248-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2271 ALPINE BLVD STE A",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011101",
"telephone_number": "888-688-0248"
}
],
"practiceLocations": [
{
"address_1": "5005 Texas St Ste 203",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083723",
"country_code": "US",
"telephone_number": "619-692-0727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE-MEDINA",
"first_name": "VALERIA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2025-08-13",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "118977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.