Active NPI
Dina Cuervo, PH.D.
- Clinical Child & Adolescent Psychologist
- Los Angeles, CA
National Provider Identifier
1144365404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY24914
- Practice address
- 3250 Wilshire Blvd Ste 310
Los Angeles, CA 90010-1449 - Phone
- (323) 361-7742
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY24914 | CA | Primary |
Addresses
Primary practice location
3250 Wilshire Blvd Ste 310
Los Angeles, CA 90010-1449
Mailing address
320 S Almansor St
Alhambra, CA 91801-4231
Phone (626) 319-5995
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24914 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1144365404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S ALMANSOR ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014231",
"telephone_number": "626-319-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WILSHIRE BLVD STE 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101449",
"telephone_number": "323-361-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUERVO",
"first_name": "DINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY24914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.