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BLAIR KAYNE PAEZ-WONG LMFT
NPI 1063057099
Marriage & Family Therapist in Claremont, CA

Active since November 13, 2019PECOS EnrolledAccepts Medicare Assignment
675 W FOOTHILL BLVD STE 200, CLAREMONT, CA 91711(925) 282-1778 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2025, Sep 9, 2022, Nov 15, 2019 (3 updates tracked since 2019).

About Blair Kayne Paez-wong Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIR KAYNE PAEZ-WONG LMFT (NPI 1063057099) is an individual marriage & family therapist in Claremont, California, licensed in California (149148) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063057099
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBLAIR KAYNE PAEZ-WONGCredential: LMFT
Location Address675 W FOOTHILL BLVD STE 200Claremont, CA 91711-3475
Mailing Address675 W Foothill Blvd Ste 200Claremont, CA 91711-3475 · (925) 282-1778
Phone(925) 282-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 13, 2019
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1063057099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 149148
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
675 W FOOTHILL BLVD STE 200, Claremont, CA 91711
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Other Names 1

Former Name (1)Blair Kayne Paez Amft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blair Kayne Paez-wong Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517476070
PECOS Enrollment IDI20250604004315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Blair Paez-wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
336 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMANUEL VILLARREAL-SANDOVAL LCSW
Social Worker (Clinical)
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
REBECCA ANN BECKETT RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
ALICIA BEATRIZ MEDINA LMFT
Marriage & Family Therapist
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
SANDRA SOFIA IBARRA LCSW
Social Worker (Clinical)
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
VITUS CHIBUIKE ONUSURU LMFT
Marriage & Family Therapist
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
MS. HILDA ANN WILLIAMSON LCSW
Social Worker (Clinical)
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
STEPHANIE ROCHA LMFT
Marriage & Family Therapist
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778
NEKIA MONAE TURNER LCSW118843
Social Worker (Clinical)
675 W FOOTHILL BLVD STE 200
CLAREMONT, CA 91711
Los Angeles County (925) 282-1778

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 Blair Paez-wong's NPI number?

The NPI number for Blair Paez-wong is 1063057099. It was assigned to this individual provider in the NPPES registry on November 13, 2019. The provider is also known as Blair Kayne Paez Amft.

Where is Blair Paez-wong located?

Blair Paez-wong practices at 675 W Foothill Blvd Ste 200, Claremont, CA 91711. The listed phone number is (925) 282-1778.

What is Blair Paez-wong's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Blair Paez-wong enrolled in Medicare?

Yes. Blair Paez-wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blair Paez-wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blair Paez-wong reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Blair Paez-wong'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 Blair Paez-wong was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.