LA TISHA LYNN SAN PEDRO-LINTAG LMFT 133780
NPI 1487149407
Marriage & Family Therapist in Pollock Pines, CA
About La Tisha Lynn San Pedro-lintag Lmft 133780 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA TISHA LYNN SAN PEDRO-LINTAG LMFT 133780 (NPI 1487149407) is an individual marriage & family therapist in Pollock Pines, California, licensed in California (133780) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Folsom.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La Tisha Lynn San Pedro-lintag Lmft 133780 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show La Tisha San Pedro-lintag reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POLLOCK PINES, CA 95726
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 La Tisha San Pedro-lintag's NPI number?
The NPI number for La Tisha San Pedro-lintag is 1487149407. It was assigned to this individual provider in the NPPES registry on June 22, 2018.
Where is La Tisha San Pedro-lintag located?
La Tisha San Pedro-lintag practices at 3431 Sly Park Rd, Pollock Pines, CA 95726. The listed phone number is (209) 975-7919.
What is La Tisha San Pedro-lintag's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is La Tisha San Pedro-lintag enrolled in Medicare?
Yes. La Tisha San Pedro-lintag is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for La Tisha San Pedro-lintag's services?
According to the CMS Revalidation Reassignment List (October 2026 release), La Tisha San Pedro-lintag reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Cyti Health PC (San Diego, CA). Each 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 La Tisha San Pedro-lintag'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 La Tisha San Pedro-lintag was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# La Tisha Lynn San Pedro-Lintag, LMFT 133780 · NPI 1487149407
Marriage & Family Therapist provider in Pollock Pines, California. Individual provider, active in the CMS NPPES registry since June 22, 2018.
## Identity
- **NPI:** 1487149407 (Entity type: Individual)
- **Enumerated:** June 22, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 133780 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3431 SLY PARK RD, Pollock Pines, CA 95726-9520
- **Phone:** (209) 975-7919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Cyti Health PC (NPI 1679172290, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487149407) · Data from the CMS NPPES public registry.