Individual provider Active NPI

Monica Bezzi Demas, LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1902082803
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT77371 Issued in CA
Practice address
624 W 9TH St
Suite 204
San Pedro, CA 90731-3158
Phone
(310) 938-4575
NPI assigned
Jan 10, 2008
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Marriage & Family Therapist 106H00000X LMFT77371 CA Primary

Addresses

Primary practice location

624 W 9TH St
Suite 204
San Pedro, CA 90731-3158

Mailing address

624 W 9TH St
Suite 204
San Pedro, CA 90731-3158
Phone (310) 938-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT77371CAMDMarriage & Family Therapist
77371CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Nutrition Therapy Past Accepting new patients
First Step Family Counseling, Inc. Marriage & Family Therapist PastSince Jun 23, 2013 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1902082803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W 9TH ST",
            "address_2": "SUITE 204",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313158",
            "telephone_number": "310-938-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W 9TH ST",
            "address_2": "SUITE 204",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313158",
            "telephone_number": "310-938-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAS",
        "first_name": "MONICA",
        "middle_name": "BEZZI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT77371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.