ROBERT TRISTAN
NPI 1225697964
Marriage & Family Therapist in Chino, CA

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
11780 CENTRAL AVE STE 100, CHINO, CA 91710(909) 517-2020 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert Tristan NPPES

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

ROBERT TRISTAN (NPI 1225697964) is an individual marriage & family therapist in Chino, California, licensed in California (110607) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225697964
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameROBERT TRISTAN
Location Address11780 CENTRAL AVE STE 100Chino, CA 91710-6499
Mailing AddressPo Box 6138La Puente, CA 91747-6138
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 6, 2019
✔ NPI 1225697964 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 · 110607
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.
11780 CENTRAL AVE STE 100, Chino, CA 91710

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

Robert Tristan 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 ID6507300340
PECOS Enrollment IDI20240703001309
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 Robert Tristan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • 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 3

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

Marriage & Family Therapist
11780 CENTRAL AVE STE 100
CHINO, CA 91710
Marriage & Family Therapist
11780 CENTRAL AVE STE 100
CHINO, CA 91710
Marriage & Family Therapist
11780 CENTRAL AVE STE 100
CHINO, CA 91710

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 Robert Tristan's NPI number?

The NPI number for Robert Tristan is 1225697964. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Robert Tristan located?

Robert Tristan practices at 11780 Central Ave Ste 100, Chino, CA 91710. The listed phone number is (909) 517-2020.

What is Robert Tristan's specialty?

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

Is Robert Tristan enrolled in Medicare?

Yes. Robert Tristan 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 Robert Tristan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Tristan reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Robert Tristan'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 Robert Tristan was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.