Active NPI
Karla Kim Materna, PH.D.
- Psychologist
- La Jolla, CA
National Provider Identifier
1932157518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 10669
- Practice address
- 7946 Ivanhoe Ave
Suite 318
La Jolla, CA 92037-4516 - Phone
- (619) 575-5725
- NPI assigned
- May 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 10669 | CA | Primary |
Addresses
Primary practice location
7946 Ivanhoe Ave
Suite 318
La Jolla, CA 92037-4516
Mailing address
7946 Ivanhoe Ave
Suite 318
La Jolla, CA 92037-4516
Phone (619) 575-5725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932157518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7946 IVANHOE AVE",
"address_2": "SUITE 318",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374516",
"telephone_number": "619-575-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7946 IVANHOE AVE",
"address_2": "SUITE 318",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374516",
"telephone_number": "619-575-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATERNA",
"first_name": "KARLA",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 10669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.