Individual provider Active NPI

Aileen Celeste Castellanos, AMFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1275188401
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
127239 Issued in CA
Practice address
3491 Concours Ste 202
Ontario, CA 91764-5927
Phone
(909) 284-4504
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 127239 CA Primary

Addresses

Primary practice location

3491 Concours Ste 202
Ontario, CA 91764-5927

Mailing address

PO Box 3322
Rancho Cucamonga, CA 91729-3322

Other practice location 1

1352 Irvine Blvd
Tustin, CA 92780-3549
Phone (714) 794-5172

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
I20240522003441 CA Practitioner - Marriage and Family Therapist 2466894407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11370 Anderson St
Loma Linda, CA 92354-3450

8599 Haven Ave
Suite 102And210
Rancho Cucamonga, CA 91730-4849
Phone (909) 558-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127239CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Mar 16, 2025 Accepting new patients
Tumambing Hughes Marriage and Family Therapy Incorporated Marriage & Family Therapist CurrentSince Feb 27, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Milestone Marriage and Family Therapy Services Professional Corporati Marriage & Family Therapist CurrentSince May 7, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Mar 16, 2025 Accepting new patients

Locations

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3491 Concours
Ste 202
Ontario, CA 91764
Phone (909) 284-4504

1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200

150 W Foothill Blvd
Unit A
San Dimas, CA 91773
Phone (626) 507-3585

150 W Foothill Blvd
San Dimas, CA 91773
Phone (626) 507-3585

Organizations & group practices 5

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1275188401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3322",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917293322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 CONCOURS STE 202",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645927",
            "telephone_number": "909-284-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 Irvine Blvd",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803549",
            "country_code": "US",
            "telephone_number": "714-794-5172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "AILEEN",
        "middle_name": "CELESTE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.