Sandra Kimble, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF41902 Issued in CA

Practice address

1350 3Rd St
La Verne, CA 91750-5201

Phone

(909) 596-5921

Fax

(909) 596-3954

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sandra Salas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stepping Stones to Healing

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1972181824
  NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1104946300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 W MEYERS RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075182",
            "telephone_number": "909-708-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505201",
            "telephone_number": "909-596-5921",
            "fax_number": "909-596-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF41902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SALAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Kenyon
• Victoria Keyser
• Nyunt Tin Khoo, M.D.
• Kaetlyn Alysse Eun Hae Kim
• Teresa Kim, PHARM.D.
• Jessie Lee Knox
• Kovacs LMFT Inc
• Cheryl Lee Kroll, BS
• Jeffrey Kropf, PH.D.
• Cassandra Ilene La Vallie

• Marriage & Family Therapist in La Verne, CA
• Providers in La Verne, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.