Active NPI
Anna Massey San Pedro, M.A. LMFT
- Marriage & Family Therapist
- Brawley, CA
National Provider Identifier
1548536501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 83033
- Practice address
- 251 West Main St. Suite M
Brawley, CA 92227 - Phone
- (760) 604-4368
- NPI assigned
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 83033 | CA | Primary |
Addresses
Primary practice location
251 West Main St. Suite M
Brawley, CA 92227
Mailing address
817 E. 7TH St.
Holtville, CA 92250
Phone (760) 604-4368
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83033 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1548536501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 E. 7TH ST.",
"city": "HOLTVILLE",
"state": "CA",
"postal_code": "92250",
"telephone_number": "760-604-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 WEST MAIN ST. SUITE M",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "92227",
"telephone_number": "760-604-4368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN PEDRO",
"first_name": "ANNA",
"middle_name": "MASSEY",
"name_prefix": "Ms.",
"credential": "M.A. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "83033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.