Perla Vea Gastelum

Individual provider Active NPI Marriage & Family Therapist · Bishop, CA

NPI 1073154282 · NPPES record last updated Sep 12, 2025

Key facts

NPI
1073154282
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
138024 (CA)
Practice address
1360 N Main St
Bishop, CA 93514-3013
Phone
(760) 873-6533
Fax
(760) 873-3277
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Inyo (4 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
138024CAMDCounselor

Practice roles

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

Locations

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

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

Specialties & licenses

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

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

  • Perla Sujey Vea Fierro Former name

Other providers in Bishop, CA

All providers in Bishop, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.