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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240110004626 | CA | Practitioner - Marriage and Family Therapist | 9335590678 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138024 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Inyo | Current |
Accepting new patients | |
| County of Inyo | Single Specialty | Current | Accepting new patients |
| County of Inyo | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
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
Other providers in Bishop, CA
- Valley Health Team Inc
- Valley Health Team, Inc
- Valley Health Team, Inc
- Jacey Van Dyk
- VCD Associates LLC
- Jody Veenker
- Natalie Rose Vega
- Joshua Andre Vendig
- Phuong Vo
- Vons Companies Inc
All providers in Bishop, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.