Active NPI
Consuelo Cardona, IMF
- Marriage & Family Therapist
- Pomona, CA
National Provider Identifier
1144361437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT157642
- Practice address
- 790 E Bonita
Pomona, CA 91723 - Phone
- (626) 254-5000
- Fax
- (626) 254-5051
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT157642 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | AMFT150312 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT110639 | CA | |
| Mental Health Counselor | 101YM0800X | AMFT110639 | CA |
Addresses
Primary practice location
790 E Bonita
Pomona, CA 91723
Mailing address
758 W E St
Ontario, CA 91762-3002
Phone (323) 547-9716
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
790 E Bonita Ave
Pomona, CA 91767-1906
800 S Santa Anita Ave
Arcadia, CA 91006-3536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT110639 | CA | MD | Marriage & Family Therapist |
| AMFT150312 | CA | MD | Marriage & Family Therapist |
| LMFT157642 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current | Accepting new patients |
Locations
251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083
1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794
790 E Bonita Ave
Pomona, CA 91767
Phone (909) 625-7207
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.
-
- Community/Behavioral Health Agency
- Campbell, CA
- NPI 1255496105
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1336458934
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1912664442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1144361437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 W E ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623002",
"telephone_number": "323-547-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E BONITA",
"city": "POMONA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-254-5000",
"fax_number": "626-254-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "CONSUELO",
"name_prefix": "Ms.",
"credential": "IMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT157642",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT150312",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT110639",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT110639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.