Individual provider Active NPI

Lisa Sanders, MFT

  • Marriage & Family Therapist
  • Santee, CA
National Provider Identifier
1346500444
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC50794 Issued in CA
Practice address
10388 Seth Way
Santee, CA 92071-2752
Phone
(619) 672-2157
Fax
(619) 566-4242
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 MFC50794 CA Primary

Addresses

Primary practice location

10388 Seth Way
Santee, CA 92071-2752

Mailing address

10388 Seth Way
Santee, CA 92071-2752

Other practice location 1

3636 4th Ave Ste 304
San Diego, CA 92103-4294
Phone (858) 481-8827

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
I20250121000522 CA Practitioner - Marriage and Family Therapist 0446789432 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Diego, CA 92114
Phone (619) 672-2157

10388 Seth Way
Santee, CA 92071-2752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC50794CAMDMarriage & Family Therapist
50794CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1346500444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10388 SETH WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10388 SETH WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712752",
            "telephone_number": "619-672-2157",
            "fax_number": "619-566-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 4th Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921034294",
            "country_code": "US",
            "telephone_number": "858-481-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LISA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.