ALBERT DE LEON RENOVATO LMFT
NPI 1023205861
Marriage & Family Therapist in San Bernardino, CA
About Albert De Leon Renovato Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALBERT DE LEON RENOVATO LMFT (NPI 1023205861) is an individual marriage & family therapist in San Bernardino, California, licensed in California (90537) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Glendora.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Albert De Leon Renovato Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Albert Renovato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Albert Renovato's NPI number?
The NPI number for Albert Renovato is 1023205861. It was assigned to this individual provider in the NPPES registry on September 25, 2007.
Where is Albert Renovato located?
Albert Renovato practices at 325 W Hospitality Ln, San Bernardino, CA 92408. The listed phone number is (909) 427-5000.
What is Albert Renovato's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Albert Renovato enrolled in Medicare?
Yes. Albert Renovato is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Albert Renovato's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Albert Renovato reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Albert Renovato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Albert Renovato was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Albert De Leon Renovato, LMFT · NPI 1023205861
Marriage & Family Therapist provider in San Bernardino, California. Individual provider, active in the CMS NPPES registry since September 25, 2007.
## Identity
- **NPI:** 1023205861 (Entity type: Individual)
- **Enumerated:** September 25, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 90537 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 325 W HOSPITALITY LN, San Bernardino, CA 92408-3243
- **Phone:** (909) 427-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1023205861) · Data from the CMS NPPES public registry.