Healthcare Provider Details

I. General information

NPI: 1699619650
Provider Name (Legal Business Name): ASCEND MENTAL HEALTH NURSING GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4959 PALO VERDE ST STE 202C
MONTCLAIR CA
91763-2359
US

IV. Provider business mailing address

4959 PALO VERDE ST STE 202C
MONTCLAIR CA
91763-2359
US

V. Phone/Fax

Practice location:
  • Phone: 909-903-6311
  • Fax:
Mailing address:
  • Phone: 909-903-6311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TREJO CORTEZ
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 909-395-6053