Individual provider Active NPI

Cristina Paula Moldovan, PHD

  • Psychologist
  • Whittier, CA
National Provider Identifier
1346834512
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32337 Issued in CA
Practice address
12291 Washington Blvd Ste 300
Whittier, CA 90606-2549
Phone
(562) 967-2840
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32337 CA
Psychologist 103T00000X 32337 CA Primary

Addresses

Primary practice location

12291 Washington Blvd Ste 300
Whittier, CA 90606-2549

Mailing address

12291 Washington Blvd Ste 300
Whittier, CA 90606-2549
Phone (562) 967-2840

Other practice location 1

363 Newport Ave Unit 315
Long Beach, CA 90814-8115
Phone (562) 774-2264

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
I20210602000898 CA Practitioner - Clinical Psychologist 7214336890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Loma Linda University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

3400 Lomita Blvd
Suite 104
Torrance, CA 90505-4900
Phone (310) 517-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2021 Accepting new patients
Torrance Health Association Inc CurrentSince Aug 1, 2023 Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2021 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3400 Lomita Blvd
Ste 104
Torrance, CA 90505
Phone (310) 326-5648

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

12291 Washington Blvd
Ste 300
Whittier, CA 90606
Phone (562) 945-7252

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1346834512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 300",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062549",
            "telephone_number": "562-967-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 300",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062549",
            "telephone_number": "562-967-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Newport Ave Unit 315",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908148115",
            "country_code": "US",
            "telephone_number": "562-774-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLDOVAN",
        "first_name": "CRISTINA",
        "middle_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32337",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.