Individual provider Active NPI

Jonathan Santos Cabral, LMFT

  • Marriage & Family Therapist
  • Lamont, CA
National Provider Identifier
1467049890
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT142150 Issued in CA
Practice address
8787 Hall Rd
Lamont, CA 93241-1953
Phone
(661) 845-3731
Fax
(661) 845-1157
NPI assigned
Dec 31, 2020
Sex
Male
Sole proprietor
Yes

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 LMFT142150 CA Primary

Addresses

Primary practice location

8787 Hall Rd
Lamont, CA 93241-1953

Mailing address

8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3731

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
I20240116004223 CA Practitioner - Marriage and Family Therapist 3779935689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT142150CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1467049890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 HALL RD",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411953",
            "telephone_number": "661-845-3731",
            "fax_number": "661-845-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 HALL RD",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411953",
            "telephone_number": "661-845-3731",
            "fax_number": "661-845-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "JONATHAN",
        "middle_name": "SANTOS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-31",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT142150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamont, CA

Sources for this page

Verify at the official NPI Registry.