NPIMap

Individual provider Active NPI

Maria Gabriela Morales Chavarria

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1801255070
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117734 Issued in CA
Practice address
3105 Wilson Road
Bakersfield, CA 93304-6810
Phone
(661) 397-8775
Fax
(661) 397-8786
NPI assigned
Feb 16, 2016
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 117734 CA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

3105 Wilson Road
Bakersfield, CA 93304-6810

Mailing address

10417 Main St
Lamont, CA 93241-6810
Phone (661) 845-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000535 CA Practitioner - Marriage and Family Therapist 4587103312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

1111 Columbus St
Bakersfield, CA 93305-1936
Phone (661) 326-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117734CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority Case Manager/Care Coordinator CurrentSince Jun 13, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 13, 2024 Accepting new patients
Clinica Sierra Vista Marriage & Family Therapist PastSince Feb 9, 2020 Accepting new patients

Locations

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

820 34th St
Ste 202
Bakersfield, CA 93301
Phone (661) 862-7370

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1801255070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10417 MAIN ST",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932416810",
            "telephone_number": "661-845-5100",
            "fax_number": "661-845-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 WILSON ROAD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933046810",
            "telephone_number": "661-397-8775",
            "fax_number": "661-397-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES CHAVARRIA",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117734",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.