Individual provider Active NPI

Cesar G. Ureta, PSY.D.

  • Clinical Psychologist
  • Palm Springs, CA
National Provider Identifier
1356498992
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19211 Issued in CA
Practice address
777 E Tahquitz Canyon Way Ste 200
Palm Springs, CA 92262-6797
Phone
(415) 577-0101
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Psychologist 103TC0700X 021202 NY
Clinical Psychologist 103TC0700X PSY19211 CA Primary

Addresses

Primary practice location

777 E Tahquitz Canyon Way Ste 200
Palm Springs, CA 92262-6797

Mailing address

1775 E Palm Canyon Dr Ste 110
Palm Springs, CA 92264-1623
Phone (415) 577-0101

Other practice location 1

601 Van Ness Ave Ste E361
San Francisco, CA 94102-3200
Phone (415) 775-6644

Other identifiers 1

IdentifierTypeStateIssuer
021202OtherNYSTATE OF NEW YORK LICENSE

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
I20050527000470 CA Practitioner - Clinical Psychologist 9133161359 Reassigns benefits to 4 organizations
Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mendocino Community Health Clinic IncGroup PAC ID 6305755455, 57 clinicians

Practice addresses (Care Compare)

333 Laws Ave
Ukiah, CA 95482-6540
Phone (458) 292-2167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19211CAMDClinical Psychologist
021202NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Scott Psychologist Corp Clinical CurrentSince Feb 15, 2021 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Jan 20, 2025 Accepting new patients
Indermohan S Luthra MD Inc a Professional Corporation CurrentSince Sep 1, 2018 Accepting new patients
Marin City Health and Wellness Center CurrentSince Mar 3, 2024 Accepting new patients
Marin City Health and Wellness Center CurrentSince Mar 3, 2024 Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients

Locations

4605 Lankershim Blvd
Ste 545
North Hollywood, CA 91602
Phone (323) 999-1395

35400 Bob Hope Dr
Ste 113
Rancho Mirage, CA 92270
Phone (760) 328-7500

880 Las Gallinas Ave
Ste 2
San Rafael, CA 94903
Phone (415) 339-8813

630 Drake Ave
Sausalito, CA 94965
Phone (415) 339-8813

100 Phillips Dr
Sausalito, CA 94965
Phone (415) 339-8813

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

7720 Painter Ave
Ste C
Whittier, CA 90602
Phone (323) 999-1395

Organizations & group practices 10

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1356498992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E PALM CANYON DR STE 110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641623",
            "telephone_number": "415-577-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E TAHQUITZ CANYON WAY STE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626797",
            "telephone_number": "415-577-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Van Ness Ave Ste E361",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941023200",
            "country_code": "US",
            "telephone_number": "415-775-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URETA",
        "first_name": "CESAR",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021202",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK LICENSE",
            "identifier": "021202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.