MEDICARE: DR. CARA LOUISE SANTA MARIA PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TH0100X	Health Service Psychologist	PSY35880	CA
2	103T00000X	Psychologist	PSY35880	CA
3	103TH0004X	Health Psychologist	PSY35880	CA
4	103TC0700X	Clinical Psychologist	PSY35880	CA

General Provider Information

NPI Number	:	1891673752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARA LOUISE SANTA MARIA PHD

Provider Business Mailing Address
First Line	:	4140 W 190TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 S SAN VICENTE BLVD FL 7
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3311
Country	:	US
Telephone Number	:	310-423-0638
Fax Number	:	310-423-8826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	01/15/2026

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