Paola Karina Telyagova, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF85968 Issued in CA

Practice address

11498 Pierce St
Riverside, CA 92505-3357

Phone

(951) 354-6294

NPI assigned

Sep 5, 2017

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

Other identifiers 1

Other names 1

• Paola Karina Cardona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1235657750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26888 DAY BREAK DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836232",
            "telephone_number": "818-203-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11498 PIERCE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053357",
            "telephone_number": "951-354-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELYAGOVA",
        "first_name": "PAOLA",
        "middle_name": "KARINA",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF85968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131100830501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAOLA",
            "last_name": "CARDONA",
            "middle_name": "KARINA",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Litsy Tellez
• Rebecca Tellez, BCBA
• Trinity Tellez
• Flor Karina Tello Salazar
• Arleen Carol Tello, CATC II, RAS IIII,
• Brandi Rae Temple
• Jason S Temple, MA, LMFT
• Kelly Templeman, MPH,CHES, NBC-HWC
• William Arthur Templeman Jr., PHARM.D.
• Joseph Ralph Tena

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.