Individual provider Active NPI

Cassandra Nicole Tumanuvao, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1467977363
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96302 Issued in CA
Practice address
4343 Von Karman Ave Ste 100
Newport Beach, CA 92660-2098
Phone
(949) 650-4334
Fax
(949) 548-4718
NPI assigned
Aug 11, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 96302 CA Primary

Addresses

Primary practice location

4343 Von Karman Ave Ste 100
Newport Beach, CA 92660-2098

Mailing address

906 S Sheridan St
Corona, CA 92882-3346
Phone (714) 400-1507

Other practice location 1

817 W Grand Blvd
Corona, CA 92882-3265
Phone (714) 400-1507

Other identifiers 1

IdentifierTypeStateIssuer
14006636OtherCACAQH

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

State licenses

LicenseStateTypeSpecialty
96302CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
True North Lab, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cassandratumanuvao@tdh.allscriptsdirect.net

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1467977363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S SHERIDAN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823346",
            "telephone_number": "714-400-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 VON KARMAN AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602098",
            "telephone_number": "949-650-4334",
            "fax_number": "949-548-4718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823265",
            "country_code": "US",
            "telephone_number": "714-400-1507",
            "fax_number": "714-400-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMANUVAO",
        "first_name": "CASSANDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14006636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.