Active NPI
Sanjaya Roy
- Marriage & Family Therapist
- Monterey Park, CA
National Provider Identifier
1013547124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116908
- Practice address
- 1000 Corporate Center Dr
Monterey Park, CA 91754-7600 - Phone
- (626) 966-1776
- NPI assigned
- Jan 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 116908 | CA | Primary |
Addresses
Primary practice location
1000 Corporate Center Dr
Monterey Park, CA 91754-7600
Mailing address
1000 Corporate Center Dr
Monterey Park, CA 91754-7600
Phone (626) 966-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116908 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1013547124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547600",
"telephone_number": "626-966-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547600",
"telephone_number": "626-966-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SANJAYA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-17",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.