Individual provider Active NPI

Vanessa Mastandrea, LMFT

  • Marriage & Family Therapist
  • Victorville, CA
National Provider Identifier
1306535273
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142132 Issued in CA
Practice address
14393 Park Ave Ste 200
Victorville, CA 92392-3302
Phone
(442) 327-9135
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 142132 CA Primary

Addresses

Primary practice location

14393 Park Ave Ste 200
Victorville, CA 92392-3302

Mailing address

14393 Park Ave Ste 200
Victorville, CA 92392-3302
Phone (442) 327-9135

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
I20251222000177 CA Practitioner - Marriage and Family Therapist 9638664238 Practice locations: Hesperia, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8324 Langdon Ave
Hesperia, CA 92345-7113

9329 Mariposa Rd
Suite 105
Hesperia, CA 92344-8000
Phone (760) 514-7742

9800 Mesa Linda St Apt
Suite 265
Hesperia, CA 92345-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142132CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Ware, Licensed Clinical Social Worker Inc PastSince Nov 7, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1306535273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14393 PARK AVE STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923923302",
            "telephone_number": "442-327-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14393 PARK AVE STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923923302",
            "telephone_number": "442-327-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTANDREA",
        "first_name": "VANESSA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.