Ariana Marvel Castellanos

Individual provider Active NPI Marriage & Family Therapist · Santa Ana, CA

NPI 1922534890 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1922534890
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
IMF98578 (CA)
Practice address
1231 E Dyer Rd Ste 135
Santa Ana, CA 92705-5643
Phone
(949) 250-0488
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240606003834 CA Practitioner - Marriage and Family Therapist 2961944889 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
IMF98578CAMDMarriage & Family Therapist
145671CAMDTransplant Surgery Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current
since May 13, 2024
Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc Current
since May 13, 2024
Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

1666 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 428-5533

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF98578 CA Yes

Addresses

Primary practice location

1231 E Dyer Rd Ste 135
Santa Ana, CA 92705-5643

Mailing address

1231 E Dyer Rd Ste 135
Santa Ana, CA 92705-5643
Phone (949) 250-0488

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2020.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1922534890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E DYER RD STE 135",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055643",
            "telephone_number": "949-250-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E DYER RD STE 135",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055643",
            "telephone_number": "949-250-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "ARIANA",
        "middle_name": "MARVEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF98578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

All providers in Santa Ana, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.