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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ITZIA ADILENE BASULTO MONTES
NPI 1790652162
Peer Specialist in Yucca Valley, CA

Active since October 21, 2025
58457 TWENTYNINE PALMS HIGHWAY, SUITE 102A, YUCCA VALLEY, CA 92284(760) 228-9657(442) 205-0060 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Itzia Adilene Basulto Montes NPPES

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

ITZIA ADILENE BASULTO MONTES (NPI 1790652162) is an individual peer specialist in Yucca Valley, California, licensed in California (MPSS-VMFYNA) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1790652162
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameITZIA ADILENE BASULTO MONTES
Location Address58457 TWENTYNINE PALMS HIGHWAY, SUITE 102AYucca Valley, CA 92284
Mailing Address58457 Twentynine Palms Highway, Suite 102aYucca Valley, CA 92284 · (760) 228-9657 · Fax (442) 205-0060
Phone(760) 228-9657
Fax(442) 205-0060
Sole ProprietorYes
Enumeration DateOctober 21, 2025
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1790652162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-VMFYNA
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
58457 TWENTYNINE PALMS HIGHWAY, Yucca Valley, CA 92284
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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 Itzia Basulto Montes's NPI number?

The NPI number for Itzia Basulto Montes is 1790652162. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Itzia Basulto Montes located?

Itzia Basulto Montes practices at 58457 Twentynine Palms Highway Suite 102A, Yucca Valley, CA 92284. The listed phone number is (760) 228-9657.

What is Itzia Basulto Montes's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Itzia Basulto Montes was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.