Active NPI
Diana Maria Trevino, MA
- Marriage & Family Therapist
- Vista, CA
National Provider Identifier
1235261850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50201
- Practice address
- 200 Michigan Ave
Vista, CA 92084-5424 - Phone
- (760) 726-4900
- Fax
- (760) 726-6102
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 50201 | CA | Primary |
Addresses
Primary practice location
200 Michigan Ave
Vista, CA 92084-5424
Mailing address
PO Box 716
Escondido, CA 92033-0716
Phone (760) 855-6361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009 | Other | CA | MEDI-CAL STAFF ID NUMBER |
Other names 1
- Ms. Diana Maria Gomez
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50201 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1235261850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 716",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920330716",
"telephone_number": "760-855-6361",
"fax_number": "760-436-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MICHIGAN AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920845424",
"telephone_number": "760-726-4900",
"fax_number": "760-726-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "DIANA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL STAFF ID NUMBER",
"identifier": "1009",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "GOMEZ",
"middle_name": "MARIA",
"prefix": "MS.",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vista, CA
- Taylor Thanh Tran, LMFT
- Thao Phuong Tran, O.D.
- Trushna Patel Tran, M.D.
- Transgender Health and Wellness Center
- Caitlin Travers
- Tenette Trevino, D.D.S.
- Tri City Hospital (Tri City Home Care)
- Tri City Hospital District (Tri City Hospice)
- Tri City Orthopaedic Surgery Medical Group Inc (Orthopaedic Specialists of North County Inc)
- Tri-City Dental Excellence
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.