Active NPI
Sacha B Wisznia
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1407384308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73229
- Practice address
- 900East Gilbert Street Cottage 4
San Bernardino, CA 92415-4564 - Phone
- (909) 387-7024
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73229 | CA | Primary |
Addresses
Primary practice location
900East Gilbert Street Cottage 4
San Bernardino, CA 92415-4564
Mailing address
900 E Gilbert St Ste 4
San Bernardino, CA 92415-0936
Phone (909) 387-7406
Other practice location 1
1901 Orange Tree Ln
Redlands, CA 92374-4564
Phone (909) 307-1204
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Act Family Counseling Incorporated | Past | 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.
-
- Marriage & Family Therapist
- Ontario, CA
- NPI 1831494350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1407384308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E GILBERT ST STE 4",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150936",
"telephone_number": "909-387-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900EAST GILBERT STREET COTTAGE 4",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924154564",
"telephone_number": "909-387-7024"
}
],
"practiceLocations": [
{
"address_1": "1901 Orange Tree Ln",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923744564",
"country_code": "US",
"telephone_number": "909-307-1204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISZNIA",
"first_name": "SACHA",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "73229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.