Individual provider Active NPI

Laura Christina Perez, LMFT

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1619341823
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114078 Issued in CA
Practice address
31573 Rancho Pueblo Rd Ste 200
Temecula, CA 92592-4854
Phone
(858) 279-1223
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 114078 CA Primary

Addresses

Primary practice location

31573 Rancho Pueblo Rd Ste 200
Temecula, CA 92592-4854

Mailing address

31573 Rancho Pueblo Rd Ste 200
Temecula, CA 92592-4854

Other practice location 1

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (760) 741-4300

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
I20240826002059 CA Practitioner - Marriage and Family Therapist 8123567880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

31573 Rancho Pueblo Rd
Suite 200
Temecula, CA 92592-4854
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114078CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

4361 Latham St
Ste 220
Riverside, CA 92501
Phone (206) 906-5385

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

31573 Rancho Pueblo Rd
Ste 200
Temecula, CA 92592

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1619341823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31573 RANCHO PUEBLO RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31573 RANCHO PUEBLO RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924854",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17701 San Pasqual Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920255301",
            "country_code": "US",
            "telephone_number": "760-741-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LAURA",
        "middle_name": "CHRISTINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.