Paulina Chavez Medina

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT129766 Issued in CA

Practice address

1625 W Olympic Blvd Ste 6006TH
Los Angeles, CA 90015-3809

Phone

(323) 999-2404

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Para Los Ninos

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1073637567
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1689029167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE 6006TH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153809",
            "telephone_number": "323-999-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE 6006TH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153809",
            "telephone_number": "323-999-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ MEDINA",
        "first_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129766",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT129766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Chavez Garcia
• Dianne E Chavez Granillo, COUNSELOR
• Grace Chavez Guzman
• Catherine Stephanie Chavez Hurtado
• Zaira Chavez Jimenez, MD
• Jazmin Chavez Mora
• Lilian Chavez Palacios, B.A
• Jessica Chavez Ramirez, M.S.
• Andrew Chavez Rivera
• Cintia Haide Chavez Rodriguez, PA-C

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.