Active NPI
Monica A Sanders
- Psychologist
- Los Angeles, CA
National Provider Identifier
1013569375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY36190
- Practice address
- 300 UCLA Medical PLZ Ste 1268
Los Angeles, CA 90095-8346 - Phone
- (310) 267-3377
- Fax
- (310) 267-0378
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY36190 | CA | Primary |
Addresses
Primary practice location
300 UCLA Medical PLZ Ste 1268
Los Angeles, CA 90095-8346
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
11633 San Vicente Blvd Ste 314
Los Angeles, CA 90049-6514
Phone (210) 347-3926
Other practice location 2
9777 Wilshire Blvd Ste 820
Beverly Hills, CA 90212-1908
Phone (415) 843-1523
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260624001144 | CA | Practitioner - Clinical Psychologist | 5890268643 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY36190 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1013569375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 UCLA MEDICAL PLZ STE 1268",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958346",
"telephone_number": "310-267-3377",
"fax_number": "310-267-0378"
}
],
"practiceLocations": [
{
"address_1": "11633 San Vicente Blvd Ste 314",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900496514",
"country_code": "US",
"telephone_number": "210-347-3926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9777 Wilshire Blvd Ste 820",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902121908",
"country_code": "US",
"telephone_number": "415-843-1523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "MONICA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "PSY36190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.