Active NPI
Sandra Noemi Cisneros, MA
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1316079478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112477
- Practice address
- 14535 Sherman Cir
Van Nuys, CA 91405-3087 - Phone
- (818) 901-4930
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 112477 | CA | Primary |
Addresses
Primary practice location
14535 Sherman Cir
Van Nuys, CA 91405-3087
Mailing address
10551 Langmuir Ave
Sunland, CA 91040-2910
Phone (818) 408-9668
Other practice location 1
11565 Laurel Canyon Blvd
#101
San Fernando, CA 91340-4168
Phone (818) 838-1352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112477 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1316079478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10551 LANGMUIR AVE",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402910",
"telephone_number": "818-408-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 SHERMAN CIR",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053087",
"telephone_number": "818-901-4930"
}
],
"practiceLocations": [
{
"address_1": "11565 Laurel Canyon Blvd",
"address_2": "#101",
"address_purpose": "LOCATION",
"city": "San Fernando",
"state": "CA",
"postal_code": "913404168",
"country_code": "US",
"telephone_number": "818-838-1352",
"fax_number": "818-838-1362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISNEROS",
"first_name": "SANDRA",
"middle_name": "NOEMI",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.