Individual provider Active NPI

Cesar Palos, LMFT, APCC

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1255175964
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
147514 Issued in CA
Practice address
9065 Haven Ave Ste 110
Rancho Cucamonga, CA 91730-5429
Phone
(909) 757-5770
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 147514 CA Primary

Addresses

Primary practice location

9065 Haven Ave Ste 110
Rancho Cucamonga, CA 91730-5429

Mailing address

9065 Haven Ave
Rancho Cucamonga, CA 91730-5429
Phone (909) 757-5770

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
I20250218003432 CA Practitioner - Marriage and Family Therapist 3678093887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147514CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morning View Family Therapy, Inc Marriage & Family Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

9065 Haven Ave
Ste 110
Rch Cucamonga, CA 91730
Phone (909) 757-5770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1255175964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305429",
            "telephone_number": "909-757-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 HAVEN AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305429",
            "telephone_number": "909-757-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOS",
        "first_name": "CESAR",
        "credential": "LMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.