Individual provider Active NPI

Ana Maria De la Torre, PH.D.

  • Clinical Psychologist
  • San Pedro, CA
National Provider Identifier
1932281698
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35559 Issued in CA
Practice address
461 W 6TH St Ste 211
San Pedro, CA 90731-2677
Phone
(310) 547-0084
NPI assigned
Oct 20, 2006
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY35559 CA Primary

Addresses

Primary practice location

461 W 6TH St Ste 211
San Pedro, CA 90731-2677

Mailing address

461 W 6TH St Ste 211
San Pedro, CA 90731-2677
Phone (310) 547-0084

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
I20250219001997 CA Practitioner - Clinical Psychologist 3274053350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians
Evolving Pathways Psychology CorporationGroup PAC ID 6002212115, 9 clinicians

Practice addresses (Care Compare)

1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113

2447 Pacific Coast Hwy
Suite 210
Hermosa Beach, CA 90254-2714
Phone (424) 212-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY35559CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Pathways Psychology Corporation Clinical CurrentSince Mar 13, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Feb 12, 2025 Accepting new patients
Pacifica Neuropsychology Center, Inc PastSince Feb 23, 2025 Accepting new patients
Hope Psychiatricare Inc Past Accepting new patients
Pacifica Neuropsychology Center PastSince Feb 23, 2025 Accepting new patients

Locations (25 of 28)

4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596

1320 Willow Pass Rd
Ste 600
Concord, CA 94520
Phone (925) 434-4858

10601 Walker St
Cypress, CA 90630
Phone (714) 656-2130

1370 Valley Vista Dr
Ste 200
Diamond Bar, CA 91765
Phone (310) 981-8227

500 La Terraza Blvd
Ste 150
Escondido, CA 92025
Phone (760) 232-6788

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

2447 Pacific Coast Hwy
#210
Hermosa Beach, CA 90254
Phone (424) 212-3212

2447 Pacific Coast Hwy
Ste 210
Hermosa Beach, CA 90254
Phone (310) 905-3151

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

7250 Redwood Blvd
Ste 300
Novato, CA 94945
Phone (415) 683-9892

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

155 N Lake Ave
Fl 8
Pasadena, CA 91101
Phone (626) 667-0935

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

3017 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (916) 774-7120

915 Highland Pointe Dr
Ste 250
Roseville, CA 95678
Phone (530) 713-4306

770 1st Ave
Ste 250
San Diego, CA 92101
Phone (619) 292-8304

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

3031 Tisch Way
San Jose, CA 95128
Phone (408) 260-0208

2010 Crow Canyon Pl
Ste 100
San Ramon, CA 94583
Phone (510) 999-4410

901 W Civic Center Dr
Fl 2
Santa Ana, CA 92703
Phone (951) 216-3549

1421 Guerneville Rd
Ste 200
Santa Rosa, CA 95403
Phone (707) 512-4295

1 Harbor Dr
Ste 300
Sausalito, CA 94965
Phone (415) 223-0222

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

25350 Magic Mountain Pkwy
Ste 300
Valencia, CA 91355
Phone (661) 247-9568

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1932281698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W 6TH ST STE 211",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312677",
            "telephone_number": "310-547-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W 6TH ST STE 211",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312677",
            "telephone_number": "310-547-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.