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SAN MARINO PSYCHIATRIC ASSOCIATES, INC.
NPI 1063540938
Psychiatry & Neurology - Psychiatry in San Marino, CA

Active since March 01, 2007
2400 MISSION ST, SAN MARINO, CA 91108(626) 403-8999(626) 403-8989 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Marino Psychiatric Associates, Inc. NPPES

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

SAN MARINO PSYCHIATRIC ASSOCIATES, INC. (NPI 1063540938) is a healthcare organization registered as a psychiatry in San Marino, California and active in the NPI registry since March 2007. The organization lists Lupe A Quintanilla, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063540938
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSAN MARINO PSYCHIATRIC ASSOCIATES, INC.
Location Address2400 MISSION STSan Marino, CA 91108
Mailing Address2400 Mission StreetSan Marino, CA 91108-1632 · (626) 403-8999 · Fax (626) 403-8989
Phone(626) 403-8999
Fax(626) 403-8989
Organization SubpartNo
Authorized OfficialLupe A QuintanillaOffice Manager · (626) 403-8999
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2018
✔ NPI 1063540938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2400 MISSION ST, San Marino, CA 91108
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Marino Psychiatric Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to San Marino Psychiatric Associates, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Juliana Schilling
Nurse Practitioner
NPI 1902744642
2400 MISSION ST
San Marino, CA 91108
(626) 403-8999
✔ PECOS✔ Accepts MedicareSame address
Sheela Gade, MD
Psychiatry
NPI 1114143757
2400 MISSION STREET
San Marino, CA 91108
(626) 403-8999
✔ PECOS✔ Accepts MedicareSame address
Warren Christianson, D.O.
Psychiatry
NPI 1932359445
2400 MISSION ST
San Marino, CA 91108
(626) 403-8999
✔ PECOS✔ Accepts MedicareSame address
Carol Mccormick, NP
Nurse Practitioner
NPI 1821004458
2400 MISSION ST
San Marino, CA 91108
(626) 403-8989
✔ PECOS✔ Accepts MedicareSame address
Aura Marie Pawley, M.D.
Psychiatry
NPI 1639207400
2400 MISSION ST
San Marino, CA 91108
(626) 403-8999
✔ PECOS✔ Accepts MedicareSame address
Daisy Prom
Nurse Practitioner
NPI 1295428100
1891 EFFIE ST
Los Angeles, CA 90026
(424) 653-6697
✔ PECOS✔ Accepts Medicare7.0 mi
Imani Walker, D.O.
General Practice
NPI 1053514588
1891 EFFIE ST
Los Angeles, CA 90026
(323) 644-2000
✔ PECOS✔ Accepts Medicare7.0 mi
Nancy Rehfeld
Nurse Practitioner
NPI 1093198848
1620 S GRAND AVE
Glendora, CA 91740
(626) 335-1919
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Marino Psychiatric Associates, Inc.'s NPI number?

The NPI number for San Marino Psychiatric Associates, Inc. is 1063540938. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is San Marino Psychiatric Associates, Inc. located?

San Marino Psychiatric Associates, Inc. is located at 2400 Mission St, San Marino, CA 91108. The listed phone number is (626) 403-8999.

What is San Marino Psychiatric Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is San Marino Psychiatric Associates, Inc. enrolled in Medicare?

Yes. San Marino Psychiatric Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Marino Psychiatric Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to San Marino Psychiatric Associates, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), Psychiatry (3) and General Practice (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Marino Psychiatric Associates, Inc. was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.