Kristine San Mateo Virgen
NPI 1134510126ActiveIndividual· Marriage & Family Therapist· Lancaster, CA
Marriage & Family Therapist with Sud Specialty Group - Ca and 1 other group, practicing in Lancaster, California. Enrolled in Medicare as practitioner - marriage and family therapist and practitioner - marriage and family therapist.
Overview
| NPI | 1134510126 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2015 |
| Last updated in NPPES | May 2, 2025 |
| Certified by provider | May 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 109104 | CA |
| Marriage & Family Therapist | 106H00000X | 89689 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (CA); Practitioner - Marriage and Family Therapist (HI); Practitioner - Marriage and Family Therapist (NV); Practitioner - Marriage and Family Therapist (WA) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical groups
- Sud Specialty Group - CaSanta Clara, CA · 568 clinicians
- Talkspace Provider Network Ca PCTwentynine Palms, CA · 27 clinicians
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All 347 marriage and family therapists in Lancaster · All marriage and family therapists in California