John Stafford, AMFT
Individual provider Active NPI Marriage & Family Therapist · Aguanga, CA
NPI 1184337495 · NPPES record last updated Jan 3, 2023
Key facts
- NPI
- 1184337495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 124898 (CA)
- Practice address
- 45525 Highway 79 # 53
Aguanga, CA 92536-8601 - Phone
- (760) 459-4428
- NPI assigned
- Jan 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124898 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Moments Life Coaching LLC | Current |
Accepting new patients | |
| John Stafford LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
45525 Highway 79
#53
Aguanga, CA 92536
Phone (760) 459-4428
45600 Highway 79
Unit 451
Aguanga, CA 92536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 124898 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15827578 | Other | CAQH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://npiregistry.cms.hhs.gov/api/?version=2.1 | Direct |
Other providers in Aguanga, CA
- Michelle Lopez
- Mindful Moments Life Coaching LLC
- Clara Berlanga Ocampo
- Sheila K Oconnor
- Cara Nicole Sather
- Cristina Marie Thudium
- Ellie Williams
All providers in Aguanga, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.