Individual provider Active NPI

Daisy C Dejesus

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1275878159
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT109995 Issued in CA
Practice address
190 Sierra CT Ste C4
Palmdale, CA 93550-7609
Phone
(661) 463-0496
NPI assigned
Dec 4, 2012
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X LMFT109995 CA Primary

Addresses

Primary practice location

190 Sierra CT Ste C4
Palmdale, CA 93550-7609

Mailing address

3533 Lariat Way
Acton, CA 93510-1244
Phone (818) 388-0093

Other practice location 1

43520 Division St
Lancaster, CA 93535-4089
Phone (818) 388-0093

Other identifiers 1

IdentifierTypeStateIssuer
95-2633765OtherCAMEDI-CAL

Other names 1

  • Daisy Conde Sanchez Former name

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
I20250428001994 CA Practitioner - Marriage and Family Therapist 0345766192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 Sierra CT
Suite C4
Palmdale, CA 93550-7609
Phone (661) 463-0496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT109995CAMDMarriage & Family Therapist
109995CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step Family Therapy Professional Corporation Marriage & Family Therapist CurrentSince Mar 5, 2025 Accepting new patients

Locations

190 Sierra Ct
Ste C4
Palmdale, CA 93550
Phone (661) 463-0496

Organizations & group practices 1

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1275878159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 LARIAT WAY",
            "city": "ACTON",
            "state": "CA",
            "postal_code": "935101244",
            "telephone_number": "818-388-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE C4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507609",
            "telephone_number": "661-463-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43520 Division St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935354089",
            "country_code": "US",
            "telephone_number": "818-388-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "DAISY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT109995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "SANCHEZ",
            "middle_name": "CONDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.