Individual provider Active NPI

Sara Asadifar, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1184303158
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138595 Issued in CA
Practice address
3700 Campus Dr Ste 206
Newport Beach, CA 92660-2604
Phone
(657) 464-3573
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 138595 CA Primary

Addresses

Primary practice location

3700 Campus Dr Ste 206
Newport Beach, CA 92660-2604

Mailing address

2 Andaluz
Aliso Viejo, CA 92656-6061
Phone (949) 322-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
138595CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1184303158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ANDALUZ",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926566061",
            "telephone_number": "949-322-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CAMPUS DR STE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602604",
            "telephone_number": "657-464-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADIFAR",
        "first_name": "SARA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.