Individual provider Active NPI

Christopher Ryan Pollock

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1396470779
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT154067 Issued in CA
Practice address
830 Via Mindi
Riverside, CA 92506-3641
Phone
(424) 330-8400
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 LMFT154067 CA Primary

Addresses

Primary practice location

830 Via Mindi
Riverside, CA 92506-3641

Mailing address

3286 E Guasti Rd Ste 100
Ontario, CA 91761-8646
Phone (909) 476-2023

Other practice location 1

19330 Jesse Ln
Riverside, CA 92508-5091
Phone (951) 387-4040

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
I20251009000672 CA Practitioner - Marriage and Family Therapist 3072010644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2730 Wrangler Cir
Corona, CA 92882-6809

830 Via Mindi
Riverside, CA 92506-3641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT154067CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theravize Marriage & Family Therapist CurrentSince Jun 23, 2025 Accepting new patients
Family Talk Therapy Center Marriage & Family Therapist CurrentSince Aug 25, 2025 Accepting new patients
G & C Swan Inc PastSince Jul 1, 2022 Accepting new patients

Locations

19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040

19322 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (951) 387-4040

19322 Jesse Ln
Riverside, CA 92508
Phone (951) 387-4040

Organizations & group practices 3

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1396470779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618646",
            "telephone_number": "909-476-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 VIA MINDI",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063641",
            "telephone_number": "424-330-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19330 Jesse Ln",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925085091",
            "country_code": "US",
            "telephone_number": "951-387-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT154067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.