Active NPI
Anthony David Shields, IMFT
- Marriage & Family Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1467700120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 92419
- Practice address
- 8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800 - Phone
- (909) 727-2577
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- 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 | 92419 | CA | Primary |
Addresses
Primary practice location
8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800
Mailing address
600 Central Ave Apt 158
Riverside, CA 92507-6596
Phone (951) 760-1846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2026 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92419 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1467700120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE APT 158",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076596",
"telephone_number": "951-760-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 UTICA AVE STE 102",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303800",
"telephone_number": "909-727-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ANTHONY",
"middle_name": "DAVID",
"credential": "IMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "92419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.