Yarisel Blumka
Individual provider Active NPI School Psychologist · Lakeside, CA
NPI 1922972751 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1922972751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 220192569 (CA)
- Practice address
- 12335 Woodside Ave
Lakeside, CA 92040-3015 - Phone
- (619) 390-2600
- NPI assigned
- Oct 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220192569 | CA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 220192569 | CA | Yes |
Addresses
Primary practice location
12335 Woodside Ave
Lakeside, CA 92040-3015
Mailing address
12335 Woodside Ave
Lakeside, CA 92040-3015
Phone (619) 390-2600
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All providers in Lakeside, CA · School Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.