Individual provider Active NPI

Sharada Vegi, PH.D.

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1073790424
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT52985 Issued in CA
Practice address
3463 Ridgecrest Dr
Corona, CA 92881-8352
Phone
(909) 967-0216
Fax
(951) 279-0892
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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 LMFT52985 CA Primary

Addresses

Primary practice location

3463 Ridgecrest Dr
Corona, CA 92881-8352

Mailing address

3463 Ridgecrest Dr
Corona, CA 92881-8352
Phone (909) 967-0216

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT52985CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keshawan Sampath Inc. Current Accepting new patients
Vegi, Inc. Current Accepting new patients
Emq Children and Family Services Past Accepting new patients

Locations

12968 Frederick St
Ste D
Moreno Valley, CA 92553
Phone (951) 242-7738

Organizations & group practices 3

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1073790424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 RIDGECREST DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818352",
            "telephone_number": "909-967-0216",
            "fax_number": "951-279-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 RIDGECREST DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818352",
            "telephone_number": "909-967-0216",
            "fax_number": "951-279-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGI",
        "first_name": "SHARADA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT52985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.