Individual provider Active NPI

Alex Jordan Cedas

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1073280871
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT149612 Issued in CA
Practice address
1225 W 6TH St
Santa Ana, CA 92703-2101
Phone
(714) 972-1402
NPI assigned
Aug 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 AMFT149612 CA Primary

Addresses

Primary practice location

1225 W 6TH St
Santa Ana, CA 92703-2101

Mailing address

3785 S Plaza Dr
Santa Ana, CA 92704-7463

Other practice location 1

3785 S Plaza Dr
Santa Ana, CA 92704-7463
Phone (714) 828-2000

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

LicenseStateTypeSpecialty
AMFT149612CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Straight Talk Clinic, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Straight Talk Clinic, Inc. CurrentSince Sep 29, 2024 Accepting new patients

Locations

3785 S Plaza Dr
Santa Ana, CA 92704
Phone (714) 828-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1073280871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 S PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 6TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032101",
            "telephone_number": "714-972-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3785 S Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047463",
            "country_code": "US",
            "telephone_number": "714-828-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDAS",
        "first_name": "ALEX",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT149612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.