Individual provider Active NPI

Elisabeth Sakura Sadler, M.A., MFT MFC46436

  • Marriage & Family Therapist
  • Valley Village, CA
National Provider Identifier
1477791820
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46436 Issued in CA
Practice address
12520 Magnolia Blvd
Suite 308
Valley Village, CA 91607-2336
Phone
(818) 231-0707
Fax
(818) 760-7685
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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 MFC46436 CA Primary

Addresses

Primary practice location

12520 Magnolia Blvd
Suite 308
Valley Village, CA 91607-2336

Mailing address

12520 Magnolia Blvd
Suite 308
Valley Village, CA 91607-2336
Phone (818) 231-0707

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

LicenseStateTypeSpecialty
MFC46436CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1477791820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 MAGNOLIA BLVD",
            "address_2": "SUITE 308",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072336",
            "telephone_number": "818-231-0707",
            "fax_number": "818-760-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 MAGNOLIA BLVD",
            "address_2": "SUITE 308",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072336",
            "telephone_number": "818-231-0707",
            "fax_number": "818-760-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "ELISABETH",
        "middle_name": "SAKURA",
        "credential": "M.A., MFT MFC46436",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.