Active NPI
Ingrid Perea
- Marriage & Family Therapist
- Victorville, CA
National Provider Identifier
1548067960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 162620
- Practice address
- 14344 Cajon Ave Ste 102
Victorville, CA 92392-4301 - Phone
- (760) 243-3999
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 162620 | CA | Primary |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
14344 Cajon Ave Ste 102
Victorville, CA 92392-4301
Mailing address
14344 Cajon Ave Ste 102
Victorville, CA 92392-4301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 162620 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1548067960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14344 CAJON AVE STE 102",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923924301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14344 CAJON AVE STE 102",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923924301",
"telephone_number": "760-243-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "INGRID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "162620",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.