Individual provider Active NPI

Christine Leyva Buccio, MA

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1902131386
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC52501 Issued in CA
Practice address
1010 N Central Ave
Glendale, CA 91202-2937
Phone
(818) 770-5723
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 MFC52501 CA Primary

Addresses

Primary practice location

1010 N Central Ave
Glendale, CA 91202-2937

Mailing address

2629 Foothill Blvd # 487
La Crescenta, CA 91214-3511
Phone (818) 770-5723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909004526 CA Practitioner - Marriage and Family Therapist 1153861877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC52501CAMDMarriage & Family Therapist
52501CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Jul 26, 2024 Accepting new patients
Shepards Way Inc. Marriage & Family Therapist Current Accepting new patients

Locations

1010 N Central Ave
Glendale, CA 91202
Phone (818) 662-8888

2629 Foothill Blvd
La Crescenta, CA 91214
Phone (424) 281-9781

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1902131386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 FOOTHILL BLVD # 487",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143511",
            "telephone_number": "818-770-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-770-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA BUCCIO",
        "first_name": "CHRISTINE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC52501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.