Individual provider Active NPI

Evonne R Meza, IMF

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1205964210
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148777 Issued in CA
Practice address
2750 E Washington Blvd
Pasadena, CA 91107-1448
Phone
(626) 296-8900
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 148777 CA Primary

Addresses

Primary practice location

2750 E Washington Blvd
Pasadena, CA 91107-1448

Mailing address

728 Chestnut Ave
Los Angeles, CA 90042-3009
Phone (559) 300-0360

Other names 1

  • Evonne Ramos 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
I20251030004667 CA Practitioner - Marriage and Family Therapist 3375032139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1910 W Sunset Blvd
Suite 400
Los Angeles, CA 90026-3262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
148777CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Self Care Counseling Marriage Family and Child Therapy Inc. Mental Health CurrentSince Oct 17, 2025 Accepting new patients

Locations

55 E Huntington Dr
Ste 218
Arcadia, CA 91006
Phone (213) 347-4740

1910 W Sunset Blvd
Ste 400
Los Angeles, CA 90026
Phone (213) 347-4356

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1205964210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CHESTNUT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423009",
            "telephone_number": "559-300-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071448",
            "telephone_number": "626-296-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "EVONNE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "IMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVONNE",
            "last_name": "RAMOS",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.