Individual provider Active NPI

Kristine Umiten

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1831976398
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023036287 Issued in CA
Practice address
7521 Edinger Ave Unit 4234
Huntington Beach, CA 92647-0609
Phone
(657) 464-0350
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023036287 CA Primary

Addresses

Primary practice location

7521 Edinger Ave Unit 4234
Huntington Beach, CA 92647-0609

Mailing address

7521 Edinger Ave Unit 4234
Huntington Beach, CA 92647-0609
Phone (657) 464-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240827002599 NV Practitioner - Nurse Practitioner 4789123357 Reassigns benefits to 1 organization
I20250529001466 CA Practitioner - Nurse Practitioner 4789123357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Medi Psych Services IncGroup PAC ID 3870908320, 17 clinicians

Practice addresses (Care Compare)

15260 Ventura Blvd
Suite 1200
Sherman Oaks, CA 91403-5347
Phone (310) 879-1097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023036287CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc CurrentSince Mar 20, 2025 Accepting new patients
Lindsay L Wray PSYD Comprehensive Psychological Services PLLC CurrentSince Jun 15, 2024 Accepting new patients

Locations

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

880 Seven Hills Dr
Ste 200
Henderson, NV 89052
Phone (702) 209-2199

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1831976398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 EDINGER AVE UNIT 4234",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470609",
            "telephone_number": "657-464-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 EDINGER AVE UNIT 4234",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470609",
            "telephone_number": "657-464-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMITEN",
        "first_name": "KRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2023036287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.