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ESTELA DE LA MORA THOMPSON
NPI 1639853039
Counselor - Mental Health in Rancho Cucamonga, CA

Active since June 14, 2023PECOS Enrolled
9045 HAVEN AVE, RANCHO CUCAMONGA, CA 91730(909) 757-5770 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Estela De La Mora Thompson NPPES

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

ESTELA DE LA MORA THOMPSON (NPI 1639853039) is an individual mental health provider in Rancho Cucamonga, California, licensed in California (108658) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639853039
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameESTELA DE LA MORA THOMPSON
Location Address9045 HAVEN AVERancho Cucamonga, CA 91730-5427
Mailing Address1758 Yvonne CtRiverside, CA 92501-4308 · (951) 808-2074
Phone(909) 757-5770
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1639853039 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 · 108658
9045 HAVEN AVE, Rancho Cucamonga, CA 91730
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Estela De La Mora Thompson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214440783
PECOS Enrollment IDI20250627002710
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.

Other Providers at the Same Location NPPES 2

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

DR. ANDREA L. SHIELDS PH.D.
Psychologist
9045 HAVEN AVE, STE 107
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-7736
PHELEENE MARTINEZ
Marriage & Family Therapist
9045 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 757-5770

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 Estela Thompson's NPI number?

The NPI number for Estela Thompson is 1639853039. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Estela Thompson located?

Estela Thompson practices at 9045 Haven Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 757-5770.

What is Estela Thompson's specialty?

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

Is Estela Thompson enrolled in Medicare?

Yes. Estela Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Estela Thompson was last updated on June 14, 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.