Individual provider Active NPI

Kimberly Galvez, MA

  • Marriage & Family Therapist
  • La Habra, CA
National Provider Identifier
1497357891
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150909 Issued in CA
Practice address
860 E la Habra Blvd Ste 150
La Habra, CA 90631-0816
Phone
(714) 586-4543
NPI assigned
Nov 10, 2020
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 150909 CA Primary

Addresses

Primary practice location

860 E la Habra Blvd Ste 150
La Habra, CA 90631-0816

Mailing address

17834 Linda Dr
Yorba Linda, CA 92886-3346
Phone (626) 993-7988

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
I20250929000576 CA Practitioner - Marriage and Family Therapist 1658876727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17834 Linda Dr
Yorba Linda, CA 92886-3346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Rosenman MD Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Pax Therapy and Family Services Marriage & Family Therapist PastSince Nov 15, 2020 Accepting new patients

Locations

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (626) 487-4220

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1497357891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17834 LINDA DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863346",
            "telephone_number": "626-993-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E LA HABRA BLVD STE 150",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310816",
            "telephone_number": "714-586-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ",
        "first_name": "KIMBERLY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.