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MICHAEL C. MENTARI M.D.
NPI 1568673564
Psychiatry & Neurology - Child & Adolescent Psychiatry in Alhambra, CA

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
1635 W MAIN ST # 100, ALHAMBRA, CA 91801(626) 248-1800 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2020, Dec 11, 2020, Feb 7, 2017 (3 updates tracked since 2017).

About Michael C. Mentari M.d. NPPES

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

MICHAEL C. MENTARI M.D. (NPI 1568673564) is an individual child & adolescent psychiatry provider in Alhambra, California, licensed in California (127120) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Cincinnati College Of Medicine (2004).

NPPES Registry Identity

NPI1568673564
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMICHAEL C. MENTARICredential: M.D.
Location Address1635 W MAIN ST # 100Alhambra, CA 91801-1951
Mailing Address1635 W Main St # 100Alhambra, CA 91801-1951 · (626) 248-1800
Phone(626) 248-1800
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2004
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1568673564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in CA · 127120✔ Licensed in NY · 243446
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 243446 (NY), 222469 (MA)
1635 W MAIN ST # 100, Alhambra, CA 91801
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 St Paul Ave, #101Los Angeles, CA 90017-2038 · Phone (213) 542-2800
Location 215350 Sherman Way Ste 200Van Nuys, CA 91406-4458 · Phone (818) 267-1100

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

Michael C. Mentari M.d. 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 ID547310658
PECOS Enrollment IDI20131205001564
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 Reassignments

3

Medicare enrollment records show Michael Mentari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Special Service For Groups, Inc.
Same address
Clinic/Center
1635 W MAIN ST STE 100
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1003947904 (626) 248-1800
County Of Kern
98 mi
Adult Mental Health
2300 S UNION AVE
Bakersfield, CA 93307
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1467653253 (661) 868-6175
Sacramento Native American Health Center Inc
362 mi
Federally Qualified Health Center (FQHC)
2020 J ST
Sacramento, CA 95814
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1588756530 (916) 341-0575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
79 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services25 patients

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHI KEI CHRISTY LAU LMFT
Marriage & Family Therapist
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
JEN LAN TANG LMFT
Marriage & Family Therapist
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
JINGYU LU BSW TRAINEE
Student in an Organized Health Care Education/Training Program
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
SHUANG LIU LMFT
Marriage & Family Therapist
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
MARITZA AGUAYO ACSW
Social Worker (Clinical)
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
TIFFANY TING-YUN CHEN LMFT
Marriage & Family Therapist
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
CATHERINE KHANH VU AMFT
Marriage & Family Therapist
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800
AI-TING WU LMFT
Marriage & Family Therapist
1635 W MAIN ST # 100
ALHAMBRA, CA 91801
Los Angeles County (626) 248-1800

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 Michael Mentari's NPI number?

The NPI number for Michael Mentari is 1568673564. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Michael Mentari located?

Michael Mentari practices at 1635 W Main St # 100, Alhambra, CA 91801. The listed phone number is (626) 248-1800.

What is Michael Mentari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Michael Mentari enrolled in Medicare?

Yes. Michael Mentari 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 organizations bill Medicare for Michael Mentari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mentari reassigns Medicare benefits to 3 organizations: Special Service For Groups, Inc. (Alhambra, CA), County Of Kern (Bakersfield, CA) and Sacramento Native American Health Center Inc (Sacramento, 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 Michael Mentari'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 Michael Mentari was last updated on December 30, 2020. 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.