Individual provider Active NPI

Josefina Sarabia, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1205222411
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT139931 Issued in CA
Practice address
2080 S E St Ste 200
San Bernardino, CA 92408-2746
Phone
(909) 388-9191
Fax
(909) 388-9195
NPI assigned
Apr 14, 2015
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT86886 CA
Marriage & Family Therapist 106H00000X IMF86886 CA
Marriage & Family Therapist 106H00000X AMFT125733 CA
Marriage & Family Therapist 106H00000X LMFT139931 CA Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

2080 S E St Ste 200
San Bernardino, CA 92408-2746

Mailing address

2080 S E St Ste 200
San Bernardino, CA 92408-2746
Phone (909) 388-9191

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
I20240415002064 CA Practitioner - Marriage and Family Therapist 8921447657 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT125733CAMDMarriage & Family Therapist
AMFT86886CAMDMarriage & Family Therapist
IMF86886CAMDMarriage & Family Therapist
LMFT139931CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Wellness Family Therapy, Inc. CurrentSince Apr 10, 2024 Accepting new patients
Total Life Ca, P.C. CurrentSince Mar 2, 2024 Accepting new patients

Locations

1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1205222411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 S E ST STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082746",
            "telephone_number": "909-388-9191",
            "fax_number": "909-388-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S E ST STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082746",
            "telephone_number": "909-388-9191",
            "fax_number": "909-388-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARABIA",
        "first_name": "JOSEFINA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT86886",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF86886",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT125733",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT139931",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.