Individual provider Active NPI

Jonathan Beauregard

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1275907115
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85410 Issued in CA
Practice address
1908 Business Center Dr Ste 220
San Bernardino, CA 92408-3468
Phone
(909) 890-5930
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 85410 CA Primary

Addresses

Primary practice location

1908 Business Center Dr Ste 220
San Bernardino, CA 92408-3468

Mailing address

1908 Business Center Dr Ste 220
San Bernardino, CA 92408-3468
Phone (909) 890-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85410CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beauregard Family Therapy Group Prof. Corp Marriage & Family Therapist CurrentSince Oct 17, 2021 Accepting new patients

Locations

1325 E Cooley Dr
Ste 106
Colton, CA 92324
Phone (909) 492-0573

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1275907115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BUSINESS CENTER DR STE 220",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083468",
            "telephone_number": "909-890-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 BUSINESS CENTER DR STE 220",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083468",
            "telephone_number": "909-890-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.