Active NPI
Sharada Vegi, PH.D.
- Marriage & Family Therapist
- Corona, CA
National Provider Identifier
1073790424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT52985
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT52985 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Moreno Valley, CA
- NPI 1649067455
-
- Mental Illness Community Based Residential Treatment Facility
- Moreno Valley, CA
- NPI 1326381864
-
- Case Management Agency
- San Bernardino, CA
- NPI 1033396965
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.