Individual provider Active NPI

Paula Pompa-Craven, PSY.D.

  • Intellectual & Developmental Disabilities Psychologist
  • Santa Ana, CA
National Provider Identifier
1235401860
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY24800 Issued in CA
Practice address
1570 E 17TH St
Santa Ana, CA 92705-8511
Phone
(818) 660-2789
Fax
(818) 510-3258
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY24800 CA Primary

Addresses

Primary practice location

1570 E 17TH St
Santa Ana, CA 92705-8511

Mailing address

1570 E 17TH St
Santa Ana, CA 92705-8511
Phone (818) 660-2789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY24800CAMDIntellectual & Developmental Disabilities Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1235401860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058511",
            "telephone_number": "818-660-2789",
            "fax_number": "818-510-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058511",
            "telephone_number": "818-660-2789",
            "fax_number": "818-510-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPA-CRAVEN",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY24800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.