Individual provider Active NPI

Nallely A Osorio Sanchez, AMFT

  • Marriage & Family Therapist
  • Chino, CA
National Provider Identifier
1457937591
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT142149 Issued in CA
Practice address
11800 Central Ave Ste 225
Chino, CA 91710-7201
Phone
(909) 591-5085
NPI assigned
Mar 19, 2021
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 LMFT142149 CA Primary

Addresses

Primary practice location

11800 Central Ave Ste 225
Chino, CA 91710-7201

Mailing address

11800 Central Ave Ste 225
Chino, CA 91710-7201
Phone (909) 591-5085

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
I20241028000192 CA Practitioner - Marriage and Family Therapist 7618400839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT142149CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Pathways Family Counseling Inc Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients
Personalized Treatment & Intervention Services CurrentSince Mar 12, 2024 Accepting new patients

Locations

11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

Organizations & group practices 2

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1457937591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE STE 225",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107201",
            "telephone_number": "909-591-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE STE 225",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107201",
            "telephone_number": "909-591-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO SANCHEZ",
        "first_name": "NALLELY",
        "middle_name": "A",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT142149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.