Individual provider Active NPI

Carolyn Sallion-Love

  • Psychiatric/Mental Health Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1184336984
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022727 Issued in CA
Practice address
34163 Pamplona Ave
Murrieta, CA 92563-4487
Phone
(909) 801-9688
NPI assigned
Dec 23, 2022
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113494 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022727 CA Primary

Addresses

Primary practice location

34163 Pamplona Ave
Murrieta, CA 92563-4487

Mailing address

34163 Pamplona Ave
Murrieta, CA 92563-4487
Phone (909) 801-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003323 CA Practitioner - Nurse Practitioner 1759727175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brainpower Wellness Institute Nursing CorporationGroup PAC ID 3072840586, 20 clinicians

Practice addresses (Care Compare)

2230 W Chapman Ave
Orange, CA 92868-2316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amygdala Medical Corporation Psychiatric/Mental Health CurrentSince Jan 20, 2024 Accepting new patients
Brainpower Wellness Institute Nursing Corporation Psychiatric/Mental Health CurrentSince Apr 7, 2024 Accepting new patients
Brainiac Medical Corporation Marriage & Family Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

160 S Old Springs Rd
Ste 135C
Anaheim, CA 92808

160 S Old Springs Rd
Ste 135D
Anaheim, CA 92808
Phone (714) 712-0711

1007 E Cooley Dr
Ste 111
Colton, CA 92324
Phone (909) 429-3244

1101 California Ave
Ste 100
Corona, CA 92881
Phone (714) 584-9700

1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711

1310 W Stewart Dr
Ste 301
Orange, CA 92868
Phone (714) 712-0711

2230 W Chapman Ave
Ste 210C
Orange, CA 92868
Phone (714) 248-3764

2230 W Chapman Ave
Ste 212
Orange, CA 92868
Phone (714) 712-0711

2230 W Chapman Ave
Ste 214B
Orange, CA 92868
Phone (714) 712-0711

2599 E 28th St
Ste 206
Signal Hill, CA 90755
Phone (562) 548-0155

3655 Torrance Blvd
Ste 301
Torrance, CA 90503
Phone (714) 712-0711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1184336984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34163 PAMPLONA AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634487",
            "telephone_number": "909-801-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34163 PAMPLONA AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634487",
            "telephone_number": "909-801-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLION-LOVE",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2024-01-31",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113494",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.