Individual provider Active NPI

Kristeen Heredero Monforte, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1902389240
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019188 Issued in CA
Practice address
2600 Redondo Ave FL 3
Long Beach, CA 90806-2325
Phone
(562) 256-2900
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 847472 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019188 CA Primary

Addresses

Primary practice location

2600 Redondo Ave FL 3
Long Beach, CA 90806-2325

Mailing address

2600 Redondo Ave FL 3
Long Beach, CA 90806-2325
Phone (562) 256-2900

Other names 1

  • Kristeen Heredero Candelaria Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330000575 CA Practitioner - Nurse Practitioner 2961898028 Reassigns benefits to 3 organizations
Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael Tehrani MD ApcGroup PAC ID 7810204575, 9 clinicians
Los Angeles County Department of Mental HealthGroup PAC ID 7416869896, 294 clinicians

Practice addresses (Care Compare)

1703 Termino Ave
Suite 108
Long Beach, CA 90804-2126
Phone (562) 498-2481

2600 Redondo Ave
FL 3
Long Beach, CA 90806-2325
Phone (562) 256-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
847472CAMDPsychiatric/Mental Health Registered Nurse
95019188CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Oct 26, 2022 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Nov 28, 2023 Accepting new patients
Michael Tehrani MD Apc CurrentSince Dec 14, 2022 Accepting new patients
California PHS PC CurrentSince Feb 22, 2023 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Nov 28, 2023 Accepting new patients

Locations

1420 E Palomar St
Chula Vista, CA 91913

7638 N Ingram Ave
#111A
Fresno, CA 93711

1703 Termino Ave
Ste 108
Long Beach, CA 90804
Phone (562) 498-2481

1975 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 599-9280

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

1501 E 16th St
Newport Beach, CA 92663
Phone (714) 366-6371

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1902389240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE FL 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325",
            "telephone_number": "562-256-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE FL 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325",
            "telephone_number": "562-256-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORTE",
        "first_name": "KRISTEEN",
        "middle_name": "HEREDERO",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "847472",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEEN",
            "last_name": "CANDELARIA",
            "middle_name": "HEREDERO",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.