Individual provider Active NPI

John Stafford, AMFT

  • Marriage & Family Therapist
  • Aguanga, CA
National Provider Identifier
1184337495
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124898 Issued in CA
Practice address
45525 Highway 79 # 53
Aguanga, CA 92536-8601
Phone
(760) 459-4428
NPI assigned
Jan 2, 2023
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 124898 CA Primary

Addresses

Primary practice location

45525 Highway 79 # 53
Aguanga, CA 92536-8601

Mailing address

45600 Highway 79 Unit 451
Aguanga, CA 92536-6818
Phone (760) 459-4428

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://npiregistry.cms.hhs.gov/api/?version=2.1 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Stafford LLC Marriage & Family Therapist CurrentSince Jan 8, 2023 Accepting new patients
Mindful Moments Life Coaching LLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

45525 Highway 79
#53
Aguanga, CA 92536
Phone (760) 459-4428

45600 Highway 79
Unit 451
Aguanga, CA 92536

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1184337495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45600 HIGHWAY 79 UNIT 451",
            "city": "AGUANGA",
            "state": "CA",
            "postal_code": "925366818",
            "telephone_number": "760-459-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45525 HIGHWAY 79 # 53",
            "city": "AGUANGA",
            "state": "CA",
            "postal_code": "925368601",
            "telephone_number": "760-459-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "JOHN",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/api/?version=2.1",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45525 Highway 79 # 53",
            "city": "Aguanga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925368601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguanga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.