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RADIANT PATH THERAPY LLC
NPI 1144046475
Clinic/Center - Adult Mental Health in Grand Terrace, CA

Active since December 03, 2024
12139 MOUNT VERNON AVE STE 210, GRAND TERRACE, CA 92313(951) 205-2949 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Feb 24, 2025, Dec 3, 2024 (3 updates tracked since 2024).

About Radiant Path Therapy Llc NPPES

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

RADIANT PATH THERAPY LLC (NPI 1144046475) is a healthcare organization registered as an adult mental health in Grand Terrace, California and active in the NPI registry since December 2024. The organization lists Landon Ehteshamzadeh, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1144046475
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameRADIANT PATH THERAPY LLC
Location Address12139 MOUNT VERNON AVE STE 210Grand Terrace, CA 92313-5562
Mailing Address12139 Mount Vernon Ave Ste 210Grand Terrace, CA 92313-5562 · (951) 205-2949 · Fax (866) 365-2227
Phone(951) 205-2949
Organization SubpartNo
Authorized OfficialLandon EhteshamzadehCo-owner · (951) 205-2949
Enumeration DateDecember 3, 2024
Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1144046475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
12139 MOUNT VERNON AVE STE 210, Grand Terrace, CA 92313
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SAMANTHA BOBBIE LEVESQUE AMFT, APCC
Marriage & Family Therapist
12139 MOUNT VERNON AVE STE 210
GRAND TERRACE, CA 92313
San Bernardino County (909) 577-1124

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 Radiant Path Therapy LLC's NPI number?

The NPI number for Radiant Path Therapy LLC is 1144046475. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Radiant Path Therapy LLC located?

Radiant Path Therapy LLC is located at 12139 Mount Vernon Ave Ste 210, Grand Terrace, CA 92313. The listed phone number is (951) 205-2949.

What is Radiant Path Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Radiant Path Therapy LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.