Individual provider Active NPI

Gloria Sanchez-Perez, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1104143908
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 46522 Issued in CA
Practice address
10737 Laurel St Ste 230
Rancho Cucamonga, CA 91730-7659
Phone
(909) 989-5556
Fax
(909) 989-5558
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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 MFC 46522 CA Primary

Addresses

Primary practice location

10737 Laurel St Ste 230
Rancho Cucamonga, CA 91730-7659

Mailing address

1515 S Bon View Ave
Ontario, CA 91761-4408
Phone (909) 930-6793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 9, 2024 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 46522CAMDMarriage & Family Therapist
46522CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario-Montclair School District Past Accepting new patients

Organizations & group practices 1

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1104143908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S BON VIEW AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614408",
            "telephone_number": "909-930-6793",
            "fax_number": "909-930-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 LAUREL ST STE 230",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307659",
            "telephone_number": "909-989-5556",
            "fax_number": "909-989-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-PEREZ",
        "first_name": "GLORIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.