Individual provider Active NPI

Vanessa Sandford, MA

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1326792557
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123973 Issued in CA
Practice address
864 E Santa Clara St
Ventura, CA 93001-2939
Phone
(805) 643-1446
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 123973 CA Primary

Addresses

Primary practice location

864 E Santa Clara St
Ventura, CA 93001-2939

Mailing address

864 E Santa Clara St
Ventura, CA 93001-2939
Phone (805) 643-1446

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
I20241205002146 CA Practitioner - Marriage and Family Therapist 2264968932 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
123973CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Dec 1, 2024 Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2024 Accepting new patients
Community Physicians of Ventura County Current Accepting new patients
Community Physicians of Ventura County CurrentSince Jan 7, 2025 Accepting new patients
Community Physicians of Ventura County Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

1202 Maricopa Hwy
Ste A
Ojai, CA 93023
Phone (805) 640-2323

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

4080 Loma Vista Rd
Ste F
Ventura, CA 93003
Phone (805) 642-2574

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Organizations & group practices 5

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1326792557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 E SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012939",
            "telephone_number": "805-643-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 E SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012939",
            "telephone_number": "805-643-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDFORD",
        "first_name": "VANESSA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.