Active NPI
Sandy Villamar
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1194125401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 81495
- Practice address
- 901 N Pacific Coast Hwy
Suite 200a
Redondo Beach, CA 90277-2162 - Phone
- (310) 316-1610
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 81495 | CA | Primary |
Addresses
Primary practice location
901 N Pacific Coast Hwy
Suite 200a
Redondo Beach, CA 90277-2162
Mailing address
13903 Sherman Way
Apt 10
Van Nuys, CA 91405-2568
Phone (818) 357-3874
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1194125401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13903 SHERMAN WAY",
"address_2": "APT 10",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052568",
"telephone_number": "818-357-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PACIFIC COAST HWY",
"address_2": "SUITE 200A",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772162",
"telephone_number": "310-316-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAMAR",
"first_name": "SANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "81495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.