Individual provider Active NPI

Sara Elizabeth Cherry Evans, M.S.

  • Marriage & Family Therapist
  • Colton, CA
National Provider Identifier
1003073032
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFCC45313 Issued in CA
Practice address
1325 E Cooley Dr
110
Colton, CA 92324-3904
Phone
(909) 580-0726
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFCC45313 CA Primary

Addresses

Primary practice location

1325 E Cooley Dr
110
Colton, CA 92324-3904

Mailing address

1325 E Cooley Dr
110
Colton, CA 92324-3904
Phone (909) 580-0726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004242 CA Practitioner - Marriage and Family Therapist 7618416967 Practice locations: Azusa, CA; Colton, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1325 E Cooley Dr
Colton, CA 92324-3966
Phone (909) 580-0726

777 E Alosta Ave
Azusa, CA 91702-3102
Phone (909) 580-0726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFCC45313CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1003073032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E COOLEY DR",
            "address_2": "110",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243904",
            "telephone_number": "909-580-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E COOLEY DR",
            "address_2": "110",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243904",
            "telephone_number": "909-580-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH CHERRY",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC45313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.