Cristina Jacqueline Diaz Gonzalez, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5001 Birch St
Newport Beach, CA 92660-2116

Phone

(951) 768-1930

NPI assigned

Aug 17, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hope Psychology Group Inc.

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1538232798
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1780350041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26132",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928256132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602116",
            "telephone_number": "951-768-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GONZALEZ",
        "first_name": "CRISTINA",
        "middle_name": "JACQUELINE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parminder Dhaliwal, MD
• DHST Incorporated
• DHST, Incorporated
• David Di Sano, LMFT
• Diane Koch RPT Inc
• Ahtziri Diaz
• Donna Bourgeois Diaz, D.C.
• Lisa Marie Diaz, M.D.
• Lizbeth B Diaz
• Mary Jane Diaz

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, 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 Aug 17, 2021; 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.