Individual provider Active NPI

Arely Cholula Bruno, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1881160430
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109188 Issued in CA
Practice address
600 W Santa Ana Blvd Ste 530
Santa Ana, CA 92701-4551
Phone
(714) 299-3896
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 109188 CA Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 530
Santa Ana, CA 92701-4551

Mailing address

600 W Santa Ana Blvd Ste 530
Santa Ana, CA 92701-4551
Phone (714) 299-3896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109188CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1881160430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 530",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014551",
            "telephone_number": "714-299-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 530",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014551",
            "telephone_number": "714-299-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLULA BRUNO",
        "first_name": "ARELY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.