Active NPI
Yesenia Montano
- Marriage & Family Therapist
- Sierra Madre, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140784
- Practice address
- 80 W Sierra Madre Blvd # 523
Sierra Madre, CA 91024-2434 - Phone
- (626) 822-9003
- NPI assigned
- Aug 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 140784 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 120834 | CA |
Addresses
Primary practice location
80 W Sierra Madre Blvd # 523
Sierra Madre, CA 91024-2434
Mailing address
80 W Sierra Madre Blvd # 523
Sierra Madre, CA 91024-2434
Phone (626) 822-9003
Other practice location 1
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 385-5100
Other practice location 2
1200 Wilshire Blvd Ste 400
Los Angeles, CA 90017-1919
Phone (213) 481-7464
Other practice location 3
350 S Lake Ave
Pasadena, CA 91101-3530
Phone (626) 630-9060
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
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 Central Ave
Suite 225
Chino, CA 91710-7201
Phone (909) 591-5085
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120834 | CA | MD | Marriage & Family Therapist |
| 140784 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Treatment & Intervention Services | Current | Accepting new patients | |
| Serene Pathways Family Counseling Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889
201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1174913321
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Inglewood, CA
- NPI 1861026445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1619524154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 W SIERRA MADRE BLVD # 523",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242434",
"telephone_number": "626-822-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 W SIERRA MADRE BLVD # 523",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242434",
"telephone_number": "626-822-9003"
}
],
"practiceLocations": [
{
"address_1": "2121 W Temple St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264915",
"country_code": "US",
"telephone_number": "213-385-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Wilshire Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171919",
"country_code": "US",
"telephone_number": "213-481-7464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 S Lake Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911013530",
"country_code": "US",
"telephone_number": "626-630-9060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTANO",
"first_name": "YESENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140784",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120834",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.