NPIMap

Organization Active NPI

Mariposa Women and Family Center

  • Community/Behavioral Health Agency
  • San Juan Capistrano, CA
National Provider Identifier
1831448166
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARIPOSA WOMEN AND FAMILY CENTER
Practice address
29222 Rancho Viejo Rd Ste 123
San Juan Capistrano, CA 92675-1044
Phone
(714) 547-6494
Fax
(714) 547-9990
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Dr. Krista Driver, PSY.D, LMFT
Title
Ceo
Phone
(714) 547-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

29222 Rancho Viejo Rd Ste 123
San Juan Capistrano, CA 92675-1044

Mailing address

29222 Rancho Viejo Rd Ste 123
San Juan Capistrano, CA 92675-1044
Phone (714) 547-6494

Other names 1

  • ADAS Mariposa Women's Center CalWorks San Juan Capistrano Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adas Mariposa Women'S Center Calworks Orange2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29222 Rancho Viejo Rd
Ste 123
San Juan Capistrano, CA 92675
Phone (714) 547-6494

29222 Rancho Viejo Rd
Ste 122
San Juan Capistrano, CA 92675
Phone (949) 429-6888

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1831448166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 123",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751044",
            "telephone_number": "714-547-6494",
            "fax_number": "714-547-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 123",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751044",
            "telephone_number": "714-547-6494",
            "fax_number": "714-547-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA WOMEN AND FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-547-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAS Mariposa Women's Center CalWorks San Juan Capistrano",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADAS Mariposa Women's Center CalWorks San Juan Capistrano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.