Richard Ryan Sandburg

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99205 Issued in CA

Practice address

222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756

Phone

(714) 871-5646

NPI assigned

Dec 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Anaheim, CA
  • NPI 1770617987
  NPD

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1225366354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S HARBOR BLVD STE 650",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HARBOR BLVD STE 650",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053756",
            "telephone_number": "714-871-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14751 Plaza Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802773",
            "country_code": "US",
            "telephone_number": "714-337-4152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDBURG",
        "first_name": "RICHARD",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Yenina Sanchez
• Maria Elena Sanchez
• Rosaisela Sanchez
• Yadira A Sanchez
• Yesenia Sanchez
• Shaina Sanders-Shepard
• Tonia Sanders
• Maninder Sandhu
• Andrea Sandoval Hernandez, LVN
• Kenia Edith Sandoval-Rodriguez

• Marriage & Family Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.