Individual provider Active NPI

Sandra Sachie Chinen Mathis, LMFT PHD

  • Marriage & Family Therapist
  • Milpitas, CA
National Provider Identifier
1174661490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC31703 Issued in CA
Practice address
830 Hillview Court
Suite 260
Milpitas, CA 95035-4550
Phone
(408) 836-5206
Fax
(408) 365-1200
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC31703 CA Primary
Marriage & Family Therapist 106H00000X MFT10003 AZ

Addresses

Primary practice location

830 Hillview Court
Suite 260
Milpitas, CA 95035-4550

Mailing address

PO Box 23892
San Jose, CA 95153-3892
Phone (408) 836-5206

Other names 1

  • Mrs. Sandra C Mathis Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610003131 CA Practitioner - Marriage and Family Therapist 9436621448 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Jose, CA 95135
Phone (408) 836-5206

3428 Lake Albano Cir
San Jose, CA 95135-1455

PO Box
Suite 23892
San Jose, CA 95153

PO Box
Suite 23892
San Jose, CA 95153-3892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT10003AZMDMarriage & Family Therapist
MFC31703CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174661490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23892",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951533892",
            "telephone_number": "408-836-5206",
            "fax_number": "408-365-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HILLVIEW COURT",
            "address_2": "SUITE 260",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354550",
            "telephone_number": "408-836-5206",
            "fax_number": "408-365-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEN MATHIS",
        "first_name": "SANDRA",
        "middle_name": "SACHIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31703",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "MFT10003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MATHIS",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "LMFT PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.