Active NPI
Cesar G. Ureta, PSY.D.
- Clinical Psychologist
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021202 | Other | NY | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19211 | CA | MD | Clinical Psychologist |
| 021202 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Scott Psychologist Corp | Clinical | Current | Accepting new patients |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Indermohan S Luthra MD Inc a Professional Corporation | Current | Accepting new patients | |
| Marin City Health and Wellness Center | Current | Accepting new patients | |
| Marin City Health and Wellness Center | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
CA
-
- Specialist
- Rancho Mirage, CA
- NPI 1326340282
CA
-
- Federally Qualified Health Center (FQHC)
- Sausalito, CA
- NPI 1285804948
CA
-
- Clinical Psychologist
- North Hollywood, CA
- NPI 1194249292
CA, Clinical
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1750809463
-
- Federally Qualified Health Center (FQHC)
- Lakeport, CA
- NPI 1770516304
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1811958952
-
- Federally Qualified Health Center (FQHC)
- Willits, CA
- NPI 1922020585
-
- Federally Qualified Health Center (FQHC)
- Sausalito, CA
- NPI 1902681489
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.