Leticia Facundo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7227 Issued in CA

Practice address

11041 Valley Blvd
El Monte, CA 91731-2516

Phone

(626) 442-4177

NPI assigned

Dec 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leticiafacundo@tdh.allscriptsdirect.net

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.

• Cyti Health PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679172290
  Medicare reassignment NPD
• Lumen Health and Psychological Services Inc.

  • Clinical Psychologist
  • Citrus Heights, CA
  • NPI 1366978843
  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1225493836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E HOLT AVE STE 166",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675852",
            "telephone_number": "909-865-0209",
            "fax_number": "909-865-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312516",
            "telephone_number": "626-442-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACUNDO",
        "first_name": "LETICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-24",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2588",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "7227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evercare Home Health Services
• David J Everett, D.C.
• Evermost Health Management, Inc.
• Evermost Health Management, Inc.
• Annalise Alexis Fabian
• Laura Fahey, PT, DPT
• Iliana Fajardo
• Jose Agapito Tiu Fajardo Jr., DMD
• Candice Falcon
• Randolph Jay Falk, M.D.

• Professional Counselor in El Monte, CA
• Providers in El Monte, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.