1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Marriage Family Therapist
  6. NPI Profile

PAULINA CHAVEZ MEDINA
NPI 1689029167
Marriage & Family Therapist in Los Angeles, CA

Active since May 03, 2016PECOS Enrolled
1625 W OLYMPIC BLVD STE 6006TH, LOS ANGELES, CA 90015(323) 999-2404 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2024, Feb 23, 2022, Dec 15, 2021 and 1 more (4 updates tracked since 2020).

About Paulina Chavez Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULINA CHAVEZ MEDINA (NPI 1689029167) is an individual marriage & family therapist in Los Angeles, California, licensed in California (AMFT129766) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689029167
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePAULINA CHAVEZ MEDINA
Location Address1625 W OLYMPIC BLVD STE 6006THLos Angeles, CA 90015-3809
Mailing Address1625 W Olympic Blvd Ste 6006thLos Angeles, CA 90015-3809 · (323) 999-2404
Phone(323) 999-2404
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 3, 2016
Last NPPES UpdateApril 22, 20244 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1689029167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · AMFT129766✔ Licensed in CA · 129766
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1625 W OLYMPIC BLVD STE 6006TH, Los Angeles, CA 90015
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paulina Chavez Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810457249
PECOS Enrollment IDI20260904002739
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paulina Chavez Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

One Heart Behavioral Health
28 mi
Clinical
25101 THE OLD RD # 300
Stevenson Ranch, CA 91381
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1386456705 (818) 330-3337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN CARLOS COCA
Social Worker
1625 W OLYMPIC BLVD STE 6006TH
LOS ANGELES, CA 90015
Los Angeles County (323) 999-2404
BLANCA FLORES
Rehabilitation Practitioner
1625 W OLYMPIC BLVD STE 6006TH
LOS ANGELES, CA 90015
Los Angeles County (323) 999-2404
CINDY LIZABETH JEREZ
Day Training/Habilitation Specialist
1625 W OLYMPIC BLVD STE 6006TH
LOS ANGELES, CA 90015
Los Angeles County (323) 999-2404
ODALIS ANAHI GARCIA
Day Training/Habilitation Specialist
1625 W OLYMPIC BLVD STE 6006TH
LOS ANGELES, CA 90015
Los Angeles County (323) 999-2404
JENNIFER ROMERO
Counselor (Professional)
1625 W OLYMPIC BLVD STE 6006TH
LOS ANGELES, CA 90015
Los Angeles County (323) 999-2404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paulina Chavez Medina's NPI number?

The NPI number for Paulina Chavez Medina is 1689029167. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Paulina Chavez Medina located?

Paulina Chavez Medina practices at 1625 W Olympic Blvd Ste 6006th, Los Angeles, CA 90015. The listed phone number is (323) 999-2404.

What is Paulina Chavez Medina's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Paulina Chavez Medina enrolled in Medicare?

Yes. Paulina Chavez Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paulina Chavez Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulina Chavez Medina reassigns Medicare benefits to One Heart Behavioral Health (Stevenson Ranch, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paulina Chavez Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paulina Chavez Medina was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.