Susanna Puga

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

138908 Issued in CA

Practice address

1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563

Phone

(951) 800-5213

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

Yes

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.

• Corc Family Counseling Corporation

  • Marriage & Family Therapist
  • Lake Elsinore, CA
  • NPI 1538542352
  NPD
• Corc Family Counseling Corporation

  • Marriage & Family Therapist
  • Lake Elsinore, CA
  • NPI 1972942191
  NPD
• My Time Therapy Clinic Robbin S Caneva Licensed Clinical Social Wo

  • Clinical Social Worker
  • Calimesa, CA
  • NPI 1457052318
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2023.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1649667288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 N MAIN ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304012",
            "telephone_number": "951-318-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 CALIMESA BLVD STE 110",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201563",
            "telephone_number": "951-800-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304012",
            "country_code": "US",
            "telephone_number": "951-318-1358 x109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGA",
        "first_name": "SUSANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMFT 83842",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griselda Ortiz Rodriguez, NP
• Keith Park
• Richard L Parker, D.D.S., M.S.
• Colbi Rae Pickl
• John Jay Preston, D.C.
• R & R Physical Therapy Corporation
• Montasir Rahman, DDS
• Karen Ramirez, DDS
• Diana Riopedre, PPS
• Amanda T Rivero

• All providers in Calimesa, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.