Active NPI
Sara Camille Gifford, MFT
- Marriage & Family Therapist
- Palo Alto, CA
National Provider Identifier
1134497027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC48594
- Practice address
- 3790 El Camino Real # 102
Palo Alto, CA 94306-3314 - Phone
- (650) 283-5778
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC48594 | CA | Primary |
Addresses
Primary practice location
3790 El Camino Real # 102
Palo Alto, CA 94306-3314
Mailing address
238 College Street #762
Etna, CA 96027-0762
Phone (650) 814-4686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702000575 | CA | Practitioner - Marriage and Family Therapist | 0547704553 | Practice locations: Etna, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC48594 | CA | MD | Marriage & Family Therapist |
| 48594 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1134497027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 COLLEGE STREET #762",
"city": "ETNA",
"state": "CA",
"postal_code": "960270762",
"telephone_number": "650-814-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 EL CAMINO REAL # 102",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063314",
"telephone_number": "650-283-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "SARA",
"middle_name": "CAMILLE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2024-01-24",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC48594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.