Individual provider Active NPI

Jason Bueno, MA, LMFT

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1790384170
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120386 Issued in CA
Practice address
12651 Artesia Blvd Apt 216
Cerritos, CA 90703-8664
Phone
(626) 247-1090
NPI assigned
Oct 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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 120386 CA Primary

Addresses

Primary practice location

12651 Artesia Blvd Apt 216
Cerritos, CA 90703-8664

Mailing address

12651 Artesia Blvd Apt 216
Cerritos, CA 90703-8664
Phone (626) 247-1090

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
I20250616000386 CA Practitioner - Marriage and Family Therapist 9133287618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Proverbs Consulting Services, Inc. CurrentSince Apr 24, 2025 Accepting new patients
Bueno and Sons Inc. PastSince Oct 6, 2008 Accepting new patients

Locations

2629 Foothill Blvd
La Crescenta, CA 91214
Phone (424) 281-9781

811 W 7th St
Los Angeles, CA 90017
Phone (626) 600-6695

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.

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1790384170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 ARTESIA BLVD APT 216",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038664",
            "telephone_number": "626-247-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 ARTESIA BLVD APT 216",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038664",
            "telephone_number": "626-247-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "JASON",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.