Individual provider Active NPI

Christina Terese Gentile, PSY.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1154780161
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
27902 Issued in CA
Practice address
100 Medical Plaza Suite 303
Los Angeles, CA 90095
Phone
(310) 206-6279
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 27902 CA
Psychologist 103T00000X 27902 CA Primary

Addresses

Primary practice location

100 Medical Plaza Suite 303
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jan 30, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 30, 2016 Accepting new patients
The Regents of the University of California CurrentSince Jun 1, 2019 Accepting new patients
The Regents of the University of California CurrentSince Jun 1, 2019 Accepting new patients
UC Regents Past Accepting new patients
Regents of the University of California PastSince Sep 6, 2020 Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

100 UCLA Medical Plz
Ste 205
Los Angeles, CA 90024
Phone (310) 208-5400

File 55737
Los Angeles, CA 90074

100 Medical Plz
Los Angeles, CA 90095
Phone (310) 825-2631

100 UCLA Medical Plz
Ste 303
Los Angeles, CA 90024

1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612

2001 Santa Monica Blvd
Ste 860W
Santa Monica, CA 90404
Phone (310) 586-9097

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1154780161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PLAZA SUITE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-206-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "CHRISTINA",
        "middle_name": "TERESE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "27902",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.