Active NPI
Ketterman Wellbeing Center
- Psychologist
- Rancho Cucamonga, CA
National Provider Identifier
1194638148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KETTERMAN WELLBEING CENTER
- Practice address
- 5033 Carriage Rd
Rancho Cucamonga, CA 91737-1685 - Phone
- (909) 732-6224
- Fax
- (909) 466-7867
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- Yes
- Parent organization
- KETTERMAN WELLBEING CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diana Patricia Chavez Ketterman, PHD
- Title
- Owner
- Phone
- (909) 732-6224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary | |
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
5033 Carriage Rd
Rancho Cucamonga, CA 91737-1685
Mailing address
5033 Carriage Rd
Rancho Cucamonga, CA 91737-1685
Phone (909) 732-6224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Alta Loma, CA
- NPI 1811487937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1194638148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5033 CARRIAGE RD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917371685",
"telephone_number": "909-732-6224",
"fax_number": "909-466-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5033 CARRIAGE RD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917371685",
"telephone_number": "909-732-6224",
"fax_number": "909-466-7867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KETTERMAN WELLBEING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KETTERMAN WELLBEING CENTER",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "KETTERMAN",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "PATRICIA CHAVEZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-732-6224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.