Individual provider Active NPI

Perla Vea Gastelum

  • Marriage & Family Therapist
  • Bishop, CA
National Provider Identifier
1073154282
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138024 Issued in CA
Practice address
1360 N Main St
Bishop, CA 93514-3013
Phone
(760) 873-6533
Fax
(760) 873-3277
NPI assigned
Sep 30, 2019
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 138024 CA
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 138024 CA Primary

Addresses

Primary practice location

1360 N Main St
Bishop, CA 93514-3013

Mailing address

PO Box 1408
Mammoth Lakes, CA 93546-1408
Phone (760) 709-0896

Other names 1

  • Perla Sujey Vea Fierro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110004626 CA Practitioner - Marriage and Family Therapist 9335590678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of InyoGroup PAC ID 1052457561, 4 clinicians

Practice addresses (Care Compare)

1360 N Main St
Suite 124
Bishop, CA 93514-3013
Phone (760) 873-6533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138024CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Inyo CurrentSince Jan 1, 2024 Accepting new patients
County of Inyo Single Specialty Current Accepting new patients
County of Inyo PastSince Mar 1, 2021 Accepting new patients

Locations

1360 N Main St
Bishop, CA 93514
Phone (760) 873-6533

1360 N Main St
Ste 124
Bishop, CA 93514
Phone (760) 872-2590

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1073154282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935461408",
            "telephone_number": "760-709-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N MAIN ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143013",
            "telephone_number": "760-873-6533",
            "fax_number": "760-873-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEA GASTELUM",
        "first_name": "PERLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "138024",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERLA",
            "last_name": "VEA FIERRO",
            "middle_name": "SUJEY",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.