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RUDY FREDERICK DEASIS LMFT
NPI 1255597928
Marriage & Family Therapist in Commerce, CA

Active since August 01, 2008PECOS Enrolled
5400 E OLYMPIC BLVD FL 1, COMMERCE, CA 90022(323) 869-9255 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2021, Jun 23, 2020 (2 updates tracked since 2020).

About Rudy Frederick Deasis Lmft NPPES

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

RUDY FREDERICK DEASIS LMFT (NPI 1255597928) is an individual marriage & family therapist in Commerce, California, licensed in California (52021) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1255597928
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameRUDY FREDERICK DEASISCredential: LMFT
Location Address5400 E OLYMPIC BLVD FL 1Commerce, CA 90022-5147
Mailing Address815 Colorado Blvd Ste 300Los Angeles, CA 90041-1744 · (323) 543-2800 · Fax (323) 978-1263
Phone(323) 869-9255
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 1, 2008
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1255597928 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 · 52021
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.
5400 E OLYMPIC BLVD FL 1, Commerce, CA 90022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rudy Frederick Deasis Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254810120
PECOS Enrollment IDI20260210003884
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 Rudy Deasis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-City Mental Health Authority
24 mi
Community/Behavioral Health
2008 N GAREY AVE
Pomona, CA 91767
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1346304920 (909) 623-6131

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.

MR. ALBERTO VALENZUELA
Marriage & Family Therapist
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
NANCY CAROLINA VASQUEZ VENTURA BA
Rehabilitation Practitioner
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
LIADAN ISABELLA SOLOMON
Social Worker (Clinical)
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
VIANETTE URIOSTEGUI
Rehabilitation Practitioner
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
APRIL MICHELLE ZAVALZA
Social Worker (Clinical)
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
KENIA GARCIA
Marriage & Family Therapist
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
JANE JACOB
Social Worker (Clinical)
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
MRS. JULIET LARDIZABAL JOHNSON LMFT
Marriage & Family Therapist
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255

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 Rudy Deasis's NPI number?

The NPI number for Rudy Deasis is 1255597928. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Rudy Deasis located?

Rudy Deasis practices at 5400 E Olympic Blvd Fl 1, Commerce, CA 90022. The listed phone number is (323) 869-9255.

What is Rudy Deasis's specialty?

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

Is Rudy Deasis enrolled in Medicare?

Yes. Rudy Deasis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rudy Deasis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudy Deasis reassigns Medicare benefits to Tri-City Mental Health Authority (Pomona, 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 Rudy Deasis'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 Rudy Deasis was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.