| Cys Clarvida - Fullerton | |
|
1501 E Orangethorpe Ave Ste 200 Fullerton CA 92831-5205 | |
| (714) 254-8473 | |
| Not Available |
| Full Name | Cys Clarvida - Fullerton |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1501 E Orangethorpe Ave Ste 200, Fullerton, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Clarvida - Fullerton 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | Cys Clarvida - Fullerton 1501 E Orangethorpe Ave Ste 200 Fullerton CA 92831-5205 Ph: (714) 254-8473 |
| NPI Number | 1881729911 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 9830368687 |
|---|---|
| Medicare Enrollment ID | O20110811000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881729911 | NPI | - | NPPES |
| 30BG | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Craig J Wronski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841390051 PECOS PAC ID: 5698838670 Enrollment ID: I20090116000606 |
| Provider Name | Luckvin P Manuel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699857813 PECOS PAC ID: 4486705571 Enrollment ID: I20090701000185 |
| Provider Name | Meg D Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427148733 PECOS PAC ID: 1052598687 Enrollment ID: I20110608000664 |
| Provider Name | Edward G Arevalo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225189343 PECOS PAC ID: 6103096268 Enrollment ID: I20110826000648 |
| Provider Name | Constanza Mossad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750396131 PECOS PAC ID: 3476723065 Enrollment ID: I20110909002821 |
| Provider Name | Peter C Hung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093027724 PECOS PAC ID: 1052575057 Enrollment ID: I20120601000436 |
| Provider Name | Jingyi Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659660058 PECOS PAC ID: 8628291077 Enrollment ID: I20140603002072 |
| Provider Name | Bruce A Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225040363 PECOS PAC ID: 8022237064 Enrollment ID: I20140924000337 |
| Provider Name | Suzanne Kent Nieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891907580 PECOS PAC ID: 6800155177 Enrollment ID: I20180111001815 |
| Provider Name | Jennifer Nam Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518408335 PECOS PAC ID: 6709149073 Enrollment ID: I20180419001207 |
| Provider Name | Kimberly May Empeno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632847 PECOS PAC ID: 5294155610 Enrollment ID: I20201022004114 |
| Provider Name | Daisy Salinas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356780068 PECOS PAC ID: 5395135248 Enrollment ID: I20211208000783 |
| Provider Name | Annika Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578215398 PECOS PAC ID: 8224399761 Enrollment ID: I20220422000468 |
| Provider Name | Ramoncito Llorin Cimarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043558117 PECOS PAC ID: 5597158600 Enrollment ID: I20220519001921 |
| Provider Name | Jessica Nicole Rodriguez Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780928424 PECOS PAC ID: 0648628701 Enrollment ID: I20231129003305 |
| Provider Name | Cassandra J Hall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881725596 PECOS PAC ID: 8224489216 Enrollment ID: I20240103003407 |
| Provider Name | Karin Woo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003104514 PECOS PAC ID: 5193177483 Enrollment ID: I20240123001959 |
| Provider Name | Karen Lynnette Sadewater |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588081418 PECOS PAC ID: 7618320870 Enrollment ID: I20240124003308 |
| Provider Name | Yanet R. Gamboa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164554838 PECOS PAC ID: 9234582248 Enrollment ID: I20240125004108 |
| Provider Name | Debbie Alejandra Linares |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609173871 PECOS PAC ID: 2264885284 Enrollment ID: I20240125004423 |
| Provider Name | Karla M Lima |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538645296 PECOS PAC ID: 7618320342 Enrollment ID: I20240130001598 |
| Provider Name | Darcia Denise Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558861658 PECOS PAC ID: 2264885813 Enrollment ID: I20240130002915 |
| Provider Name | Marian Thuy Trang Cao |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922578772 PECOS PAC ID: 8426401746 Enrollment ID: I20240201004226 |
| Provider Name | Christopher L Emory |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043685183 PECOS PAC ID: 7719320837 Enrollment ID: I20240206002083 |
| Provider Name | Tonya M Jenkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770629545 PECOS PAC ID: 3678741006 Enrollment ID: I20240206003332 |
| Provider Name | Andrew Edmunds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083158463 PECOS PAC ID: 0941643902 Enrollment ID: I20240206003877 |
| Provider Name | Kristin Michelle Testo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972768612 PECOS PAC ID: 7911175336 Enrollment ID: I20240209002219 |
| Provider Name | Hope Leslie Graven |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154596229 PECOS PAC ID: 1759724479 Enrollment ID: I20240209002465 |
| Provider Name | Katrina R Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851955801 PECOS PAC ID: 2961845508 Enrollment ID: I20240209003486 |
| Provider Name | Michael James Garrett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437399748 PECOS PAC ID: 0042653693 Enrollment ID: I20240210000003 |
| Provider Name | Meghan Lee Wee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417320946 PECOS PAC ID: 1658715008 Enrollment ID: I20240214000783 |
| Provider Name | Jackie Lynn Perdices |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336538867 PECOS PAC ID: 5294179495 Enrollment ID: I20240215002073 |
| Provider Name | Carole Lynn Arlt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497883821 PECOS PAC ID: 0446694525 Enrollment ID: I20240216000751 |
| Provider Name | Montserrath Calderon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992837066 PECOS PAC ID: 9234272261 Enrollment ID: I20240221003984 |
| Provider Name | Eric Tyler Schlothan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700395761 PECOS PAC ID: 9032554092 Enrollment ID: I20240229001035 |
| Provider Name | Abel Zuniga Herrera Iii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124547351 PECOS PAC ID: 9739525031 Enrollment ID: I20240308002215 |
| Provider Name | Kandra Diane Clifton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992885719 PECOS PAC ID: 4284070137 Enrollment ID: I20240313003216 |
Lighthouse Family Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N. Harbor Blvd., Suite 908, Fullerton, CA 92838 Phone: 949-285-8802 Fax: 949-679-8929 | |
Dennis Williams Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 E Commonwealth Ave Ste 205, Fullerton, CA 92832 Phone: 714-234-0906 | |
Cys Child Guidance Center, Inc. North Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831 Phone: 714-871-9264 Fax: 714-871-5032 | |
Soar Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1764 E Commonwealth Ave, Unit 104, Fullerton, CA 92831 Phone: 657-217-0966 | |
Orange County Center For Psychotherapy And Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 213 N Pomona Ave, Fullerton, CA 92832 Phone: 714-447-8011 Fax: 714-871-2203 | |
Sunny Hills Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W Bastanchury Rd, Suite 1a, Fullerton, CA 92835 Phone: 714-773-4111 Fax: 714-773-4222 | |
Fullerton Neuropsychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Imperial Hwy, Fullerton, CA 92835 Phone: 714-681-9070 Fax: 714-773-4788 |