Individual provider Active NPI

Sally Hazard, LMFT

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1497843874
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42180 Issued in CA
Practice address
3355 Mission Ave
Suite 238
Oceanside, CA 92054-1326
Phone
(760) 754-5500
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC42180 CA Primary
Marriage & Family Therapist 106H00000X 1037 NV

Addresses

Primary practice location

3355 Mission Ave
Suite 238
Oceanside, CA 92054-1326

Mailing address

775 Gretna Green Way
Escondido, CA 92025-7437
Phone (760) 233-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240808000213 NV Practitioner - Marriage and Family Therapist 9638616691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Sunrise Wellness Group LLCGroup PAC ID 2062873524, 5 clinicians

Practice addresses (Care Compare)

855 S Ctr St
Suite 101
Reno, NV 89501-2332
Phone (775) 440-1256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC42180CAMDMarriage & Family Therapist
1037NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Sunrise Wellness Group, LLC Marriage & Family Therapist CurrentSince Jun 25, 2024 Accepting new patients

Locations

855 S Center St
Ste 101
Reno, NV 89501
Phone (775) 440-1256

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1497843874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 GRETNA GREEN WAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920257437",
            "telephone_number": "760-233-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE",
            "address_2": "SUITE 238",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541326",
            "telephone_number": "760-754-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "SALLY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42180",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "1037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.