Active NPI
Monica Bezzi Demas, LMFT
- Marriage & Family Therapist
- San Pedro, CA
National Provider Identifier
1902082803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT77371
- 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, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT77371 | CA | MD | Marriage & Family Therapist |
| 77371 | CA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Nutrition Therapy | Past | Accepting new patients | |
| First Step Family Counseling, Inc. | Marriage & Family Therapist | Past | 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.
-
dba First Step Counseling
- Marriage & Family Therapist
- San Pedro, CA
- NPI 1649610601
-
- Health Service Clinic/Center
- San Pedro, CA
- NPI 1083010581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.