1. Home
  2. Directory
  3. California
  4. Azusa
  5. Counselor
  6. NPI Profile

JOHANNA PAULA CUSTODIO
NPI 1265244248
Counselor - Professional in Azusa, CA

Active since January 24, 2025
313 N FENIMORE AVE, AZUSA, CA 91702(714) 696-1295 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johanna Paula Custodio NPPES

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

JOHANNA PAULA CUSTODIO (NPI 1265244248) is an individual professional provider in Azusa, California, licensed in California (17989) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1265244248
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJOHANNA PAULA CUSTODIO
Location Address313 N FENIMORE AVEAzusa, CA 91702-3924
Mailing Address110 W 6th StAzusa, CA 91702-6785 · (714) 696-1295
Phone(714) 696-1295
Sole ProprietorYes
Enumeration DateJanuary 24, 2025
Last NPPES UpdateMarch 9, 2025
NPPES CertifiedMarch 9, 2025
✔ NPI 1265244248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 17989
313 N FENIMORE AVE, Azusa, CA 91702
Open in Google Maps ↗

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 Johanna Paula Custodio's NPI number?

The NPI number for Johanna Paula Custodio is 1265244248. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Johanna Paula Custodio located?

Johanna Paula Custodio practices at 313 N Fenimore Ave, Azusa, CA 91702. The listed phone number is (714) 696-1295.

What is Johanna Paula Custodio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Johanna Paula Custodio was last updated on March 9, 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.