Active NPI
Christina Oliveros
- Marriage & Family Therapist
- Alpine, CA
National Provider Identifier
1285126433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 147714
- Practice address
- 2271 Alpine Blvd Ste a
Alpine, CA 91901-1101 - Phone
- (888) 688-0248
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Marriage & Family Therapist | 106H00000X | 147714 | CA | Primary |
Addresses
Primary practice location
2271 Alpine Blvd Ste a
Alpine, CA 91901-1101
Mailing address
1330 Market St Apt 635
San Diego, CA 92101-7690
Phone (619) 394-3362
Other practice location 1
1 Crow Canyon Ct Ste 200
San Ramon, CA 94583-1641
Phone (888) 531-8385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147714 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Care Group, a Psychological Professional Corporation | Current | Accepting new patients |
Locations
2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322
3511 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 289-7322
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Alpine, CA
- NPI 1275177982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1285126433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 MARKET ST APT 635",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017690",
"telephone_number": "619-394-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2271 ALPINE BLVD STE A",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011101",
"telephone_number": "888-688-0248"
}
],
"practiceLocations": [
{
"address_1": "1 Crow Canyon Ct Ste 200",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945831641",
"country_code": "US",
"telephone_number": "888-531-8385",
"fax_number": "925-264-1902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVEROS",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2024-08-19",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "147714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.