Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristine San Mateo Virgen

Individual provider Marriage & Family Therapist · NPI 1134510126

Kristine San Mateo Virgen is a Marriage and Family Therapist in Lancaster, California. Qualified in 2015, 11 years ago. Practices with Talkspace Provider Network Ca PC, a 29-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

43520 Division St
Lancaster, CA 93535-4089
Phone: (661) 865-7666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 109104 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 89689 (CA)

Record details

NPI number1134510126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2015
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Talkspace Provider Network Ca Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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