Individual provider Active NPI

Christal Vizcarra, M.A.

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1346653441
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
71266 Issued in CA
Practice address
17326 Edwards Rd. #115
Cerritos, CA 90703-7742
Phone
(562) 921-5701
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 71266 CA Primary

Addresses

Primary practice location

17326 Edwards Rd. #115
Cerritos, CA 90703-7742

Mailing address

2206 E Martha Ave
Orange, CA 92867-7814
Phone (562) 822-5944

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002599 CA Practitioner - Marriage and Family Therapist 0547703795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carative Psychiatry Nursing CorporationGroup PAC ID 8628510310, 14 clinicians

Practice addresses (Care Compare)

739 Bryant St
San Francisco, CA 94107-1014
Phone (843) 474-5578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
71266CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carative Psychiatry Nursing Corporation CurrentSince Apr 24, 2024 Accepting new patients
George W Bernier Marriage & Family Therapist Past Accepting new patients
Alternative Options Counseling Center, Inc. Marriage & Family Therapist Past Accepting new patients
Carative Psychiatry PLLC PastSince Apr 24, 2024 Accepting new patients

Locations

739 Bryant St
San Francisco, CA 94107

2309 Noriega St
San Francisco, CA 94122
Phone (415) 305-8848

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1346653441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E MARTHA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677814",
            "telephone_number": "562-822-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17326 EDWARDS RD. #115",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037742",
            "telephone_number": "562-921-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRA",
        "first_name": "CHRISTAL",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "71266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.