Individual provider Active NPI

Sandra J Lightner

  • Marriage & Family Therapist
  • Cypress, CA
National Provider Identifier
1285757914
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38988 Issued in CA
Practice address
5816 Corporate Ave Ste 170
Cypress, CA 90630-4736
Phone
(714) 308-2958
Fax
(715) 828-3049
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 MFC38988 CA Primary

Addresses

Primary practice location

5816 Corporate Ave Ste 170
Cypress, CA 90630-4736

Mailing address

5816 Corporate Ave Ste 170
Cypress, CA 90630-4736
Phone (714) 308-2958

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
I20240612001276 CA Practitioner - Marriage and Family Therapist 0244772713 Practice locations: Cypress, 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)

5816 Corporate Ave
Suite 170
Cypress, CA 90630-4736
Phone (714) 308-5958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC38988CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1285757914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 CORPORATE AVE STE 170",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304736",
            "telephone_number": "714-308-2958",
            "fax_number": "715-828-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CORPORATE AVE STE 170",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304736",
            "telephone_number": "714-308-2958",
            "fax_number": "715-828-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "SANDRA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.