Marion Rexella Kwoba, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35661 Issued in CA

Practice address

1121 4TH Ave Apt 206
Chula Vista, CA 91911-2800

Phone

(858) 568-2733

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marion Pickering Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Rafiki Wange Mental Health Services Corporation

  • Clinical Psychologist
  • Chula Vista, CA
  • NPI 1770445686
  NPD Authorized official
• Gateways FCTP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1851420079
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1730869744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 4TH AVE APT 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112800",
            "telephone_number": "858-568-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 4TH AVE APT 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112800",
            "telephone_number": "858-568-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOBA",
        "first_name": "MARION",
        "middle_name": "REXELLA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "PICKERING",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sailaja Kuruvadi, DDS
• Yaroslav Kushnir, M.D.
• Janelle Kwak
• Soobin Kwak, M.S. CCC-SLP
• Maryhelen Kwiatkowski
• Cielo Celeste Kwon
• Luisiana A Kyriakides, LMFT
• L & S Dental Corp.
• Jazmin Marie La Spina
• La Verdad Family Therapy Professional Corporation

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.