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

MISS LETICIA JIMENEZ PEREZ
NPI 1477702793
Counselor - Mental Health in Glendora, CA

Active since September 10, 2008PECOS EnrolledAccepts Medicare Assignment
1160 S GRAND AVE, GLENDORA, CA 91740(626) 335-5980 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 21, 2022, Oct 22, 2019 (2 updates tracked since 2019).

About Miss Leticia Jimenez Perez NPPES

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

MISS LETICIA JIMENEZ PEREZ (NPI 1477702793) is an individual mental health provider in Glendora, California, licensed in California (ASW81591) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477702793
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS LETICIA JIMENEZ PEREZ
Location Address1160 S GRAND AVEGlendora, CA 91740-5000
Mailing Address6475 Via Del RanchoChino Hills, CA 91709-3921 · (714) 351-9217
Phone(626) 335-5980
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 10, 2008
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1477702793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW81591
1160 S GRAND AVE, Glendora, CA 91740
Open in Google Maps ↗

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

Miss Leticia Jimenez Perez 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 ID3779946173
PECOS Enrollment IDI20230901001262
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 Leticia Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
9.9 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

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. PETER LOPEZ P.T.
Licensed Psychiatric Technician
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MRS. ELSA YOLANDA WILLARD
Marriage & Family Therapist
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
SAMANTHA ARREOLA
Rehabilitation Practitioner
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MRS. JACQUELINE CARA PLANTE
Counselor (Mental Health)
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
CELESTE YVONNE DUCAS
Community Health Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MISS SARAH ROSE GOMEZ
Social Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
CAROLINA PEREZ LCSW
Social Worker (Clinical)
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
DALIA BARCENAS
Student in an Organized Health Care Education/Training Program
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980

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 Leticia Perez's NPI number?

The NPI number for Leticia Perez is 1477702793. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Leticia Perez located?

Leticia Perez practices at 1160 S Grand Ave, Glendora, CA 91740. The listed phone number is (626) 335-5980.

What is Leticia Perez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Leticia Perez enrolled in Medicare?

Yes. Leticia Perez 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 Leticia Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Perez 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 Leticia Perez'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 Leticia Perez was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.