Individual provider Active NPI

Eduardo Alfredo Paez III, LMFT

  • Marriage & Family Therapist
  • Walnut, CA
National Provider Identifier
1033264015
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93484 Issued in CA
Practice address
19240 Bel Air Dr
Walnut, CA 91789-4712
Phone
(818) 859-4941
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93484 CA Primary

Addresses

Primary practice location

19240 Bel Air Dr
Walnut, CA 91789-4712

Mailing address

19240 Bel Air Dr
Walnut, CA 91789-4712
Phone (818) 859-4941

Other practice location 1

2243 N Mountain Ave
Claremont, CA 91711-1586
Phone (909) 447-5346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93484CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garces Residential Care Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1033264015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19240 BEL AIR DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894712",
            "telephone_number": "818-859-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19240 BEL AIR DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894712",
            "telephone_number": "818-859-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2243 N Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917111586",
            "country_code": "US",
            "telephone_number": "909-447-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "EDUARDO",
        "middle_name": "ALFREDO",
        "name_suffix": "III",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.