Active NPI
Poonam Dinesh Natha, M.A.
- Marriage & Family Therapist
- Fontana, CA
National Provider Identifier
1437292703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 50522
- Practice address
- 7426 Cherry Ave Ste 210
#353
Fontana, CA 92336-4263 - Phone
- (949) 378-3257
- NPI assigned
- Feb 15, 2007
- Last updated
- Aug 6, 2024
- 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 | MFC 50522 | CA | Primary |
Addresses
Primary practice location
7426 Cherry Ave Ste 210
#353
Fontana, CA 92336-4263
Mailing address
PO Box 2294
Rancho Cucamonga, CA 91729-2294
Other names 1
- Miss Poonam D Patel
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 |
|---|---|---|---|
| MFC 50522 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anise Health Psychiatry PC | Marriage & Family Therapist | 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, 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": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1437292703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2294",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917292294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7426 CHERRY AVE STE 210",
"address_2": "#353",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364263",
"telephone_number": "949-378-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHA",
"first_name": "POONAM",
"middle_name": "DINESH",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 50522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "POONAM",
"last_name": "PATEL",
"middle_name": "D",
"prefix": "MISS",
"credential": "B.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.