Christine Darlene Izquierdo

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27806 Issued in CA

Practice address

330 N Screenland Dr Apt 327
Burbank, CA 91505

Phone

(909) 918-7639

NPI assigned

Dec 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 13, 2026 through Jan 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Straight Up Treatment, Inc.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1396221016

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1215230339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N SCREENLAND DR APT 327",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N SCREENLAND DR APT 327",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "909-918-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "CHRISTINE",
        "middle_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• IV Pros Inc
• Lenore Annette Iversen, M.D.
• Ivy Avanessian Fua, DDS, Inc
• Ivy Pharmacy
• Beth Ellen Izbotsky, PT, MPT
• J Scott Pharmacy
• J. Bruce Jacobs, M.D., Inc.
• J. Quijada NP - Mental Health Nursing Provider PC
• J&J Dental Hygiene Group
• Jack Friedman, M.D., Inc

• Psychologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.