Individual provider Active NPI

Katherine Cristales, PPS

  • School Psychologist
  • Gardena, CA
National Provider Identifier
1538958533
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
240237430 Issued in CA
Practice address
812 W 165TH PL
Gardena, CA 90247-5105
Phone
(323) 388-3465
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 240237430 CA Primary

Addresses

Primary practice location

812 W 165TH PL
Gardena, CA 90247-5105

Mailing address

812 W 165TH PL
Gardena, CA 90247-5105
Phone (323) 388-3465

Other practice location 1

3600 W Imperial Hwy
Inglewood, CA 90303-2714
Phone (310) 793-0157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
240237430CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Environmental Charter Schools PastSince May 11, 2025 Accepting new patients

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, 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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1538958533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W 165TH PL",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475105",
            "telephone_number": "323-388-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W 165TH PL",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475105",
            "telephone_number": "323-388-3465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 W Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903032714",
            "country_code": "US",
            "telephone_number": "310-793-0157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISTALES",
        "first_name": "KATHERINE",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "240237430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.