Community Evolution Acquisition - Mental Health Clinic in San Pedro, CA

Community Evolution Acquisition is a mental health clinic (Counselor - Mental Health) in San Pedro, California. The current practice location for Community Evolution Acquisition is 1767 Vallecito Dr, San Pedro, California. For appointments, you can reach them via phone at (424) 503-3336. The mailing address for Community Evolution Acquisition is 1767 Vallecito Dr, San Pedro, California and phone number is (424) 503-3336.

Community Evolution Acquisition is licensed to practice in * (Not Available) (license number ) and its NPI number is 1710849468. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (424) 503-3336.

Contact Information

Community Evolution Acquisition
1767 Vallecito Dr
San Pedro
CA 90732-4245
(424) 503-3336
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameCommunity Evolution Acquisition
SpecialityCounselor - Mental Health
Location1767 Vallecito Dr, San Pedro, California
Authorized Official Name and PositionTia Lopez (CEO)
Authorized Official Contact4245033336
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Community Evolution Acquisition
1767 Vallecito Dr
San Pedro
CA 90732-4245

Ph: (424) 503-3336
Community Evolution Acquisition
1767 Vallecito Dr
San Pedro
CA 90732-4245

Ph: (424) 503-3336

NPI Details:

NPI Number1710849468
Provider Enumeration Date12/02/2025
Last Update Date12/02/2025
Certification Date12/01/2025

Medical Identifiers

Medical identifiers for Community Evolution Acquisition such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710849468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary
251B00000XCase Management (* (Not Available))Secondary
251C00000XDay Training, Developmentally Disabled Services (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.