PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
NPI 1508055971
Community/Behavioral Health in El Monte, CA
About Prototypes Centers For Innovation In Health, Mental Health And Social NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL (NPI 1508055971) is a healthcare organization registered as a community/behavioral health in El Monte, California and active in the NPI registry since October 2007. The organization lists Cassandra Loch, President, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prototypes Centers For Innovation In Health, Mental Health And Social is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prototypes Centers For Innovation In Health, Mental Health And Social, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prototypes Centers For Innovation In Health, Mental Health And Social's NPI number?
The NPI number for Prototypes Centers For Innovation In Health, Mental Health And Social is 1508055971. It was assigned to this organization in the NPPES registry on October 22, 2007.
Where is Prototypes Centers For Innovation In Health, Mental Health And Social located?
Prototypes Centers For Innovation In Health, Mental Health And Social is located at 11001 E. Valley Mall Suite 300, El Monte, CA 91731. The listed phone number is (626) 442-0710.
What is Prototypes Centers For Innovation In Health, Mental Health And Social's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Prototypes Centers For Innovation In Health, Mental Health And Social enrolled in Medicare?
Yes. Prototypes Centers For Innovation In Health, Mental Health And Social is registered in the Medicare PECOS enrollment system.
When is Prototypes Centers For Innovation In Health, Mental Health And Social's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prototypes Centers For Innovation In Health, Mental Health And Social?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prototypes Centers For Innovation In Health, Mental Health And Social. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prototypes Centers For Innovation In Health, Mental Health And Social was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Prototypes Centers For Innovation In Health, Mental Health And Social · NPI 1508055971
Community/Behavioral Health organization in El Monte, California. Organization record, active in the CMS NPPES registry since October 22, 2007.
## Identity
- **NPI:** 1508055971 (Entity type: Organization)
- **Enumerated:** October 22, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Cassandra Loch, PRESIDENT, CEO
## Practice location
- **Address:** 11001 E. VALLEY MALL, SUITE 300, El Monte, CA 91731-2620
- **Phone:** (626) 442-0710 · **Fax:** (626) 442-8381
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2011
- **Other identifiers:** Other 7370P (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1508055971) · Data from the CMS NPPES public registry.