Active NPI
Christina Olivera
- Marriage & Family Therapist
- Diamond Bar, CA
National Provider Identifier
1972736775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96690
- Practice address
- 1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921 - Phone
- (714) 475-3507
- NPI assigned
- Aug 26, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF94251 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF 64224 | CA | |
| Marriage & Family Therapist | 106H00000X | 96690 | CA | Primary |
Addresses
Primary practice location
1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921
Mailing address
1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921
Phone (714) 475-3507
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W 1St St
Suite 346
Claremont, CA 91711-4742
Phone (909) 343-4550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 64224 | CA | MD | Marriage & Family Therapist |
| IMF94251 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Current | Accepting new patients | |
| Soultenders Psychological Services, Inc. | Current | Accepting new patients | |
| Foothill Family Service | Past | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
250 W 1st St
Ste 346
Claremont, CA 91711
Phone (909) 343-4550
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.
-
- Clinical Psychologist
- Arcadia, CA
- NPI 1164617007
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1386824100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1972736775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 VALLEY VISTA DR STE 200",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653921",
"telephone_number": "714-475-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 VALLEY VISTA DR STE 200",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653921",
"telephone_number": "714-475-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF94251",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 64224",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.