Pamela Mitropoulos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10619 Issued in CA

Practice address

161 W Williams St
Banning, CA 92220-4798

Phone

(951) 922-0200

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Carmenates Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• County of San Mateo

  • Community Health Clinic/Center
  • Daly City, CA
  • NPI 1952954976
  NPD
• County of San Mateo

  • Federally Qualified Health Center (FQHC)
  • Daly City, CA
  • NPI 1023196011
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1730799446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W WILLIAMS ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204798",
            "telephone_number": "951-922-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W WILLIAMS ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204798",
            "telephone_number": "951-922-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 90th St",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940151879",
            "country_code": "US",
            "telephone_number": "650-877-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITROPOULOS",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CARMENATES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MH Detention Services
• Carly Ann Millan, FNP
• Stanley Kelly Miller, D.D.S.
• Ashley Mills
• Michael Kenneth Mindoro, M.D.
• Rebecca Moldovan, FNP-C
• Georjana E Moncada Bolanos, MS
• Abigail Mondragon
• Yundell H Montalbo, PA
• Arthur Montijo

• Professional Counselor in Banning, CA
• Providers in Banning, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.