Individual provider Active NPI

Diane Sagen, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1184833683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39750 Issued in CA
Practice address
1000 Quail St
Suite 175
Newport Beach, CA 92660-2731
Phone
(714) 269-4061
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 39750 CA Primary

Addresses

Primary practice location

1000 Quail St
Suite 175
Newport Beach, CA 92660-2731

Mailing address

1000 Quail St
Suite 175
Newport Beach, CA 92660-2731
Phone (714) 269-4061

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
I20240621000276 CA Practitioner - Marriage and Family Therapist 4183167968 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Quail St
Suite 175
Newport Beach, CA 92660-2766
Phone (949) 887-9827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39750CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184833683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST",
            "address_2": "SUITE 175",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602731",
            "telephone_number": "714-269-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST",
            "address_2": "SUITE 175",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602731",
            "telephone_number": "714-269-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGEN",
        "first_name": "DIANE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.