Active NPI
Tanya Wardner, LMFT
- Marriage & Family Therapist
- Yorba Linda, CA
National Provider Identifier
1629524939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103825
- Practice address
- 4676 Lakeview Ave Ste 109E
Yorba Linda, CA 92886-2465 - Phone
- (657) 222-7049
- NPI assigned
- Aug 27, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 103825 | CA | Primary |
Addresses
Primary practice location
4676 Lakeview Ave Ste 109E
Yorba Linda, CA 92886-2465
Mailing address
4150 E Addington Dr
Anaheim, CA 92807-2813
Phone (657) 222-7049
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103825 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1629524939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 E ADDINGTON DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072813",
"telephone_number": "657-222-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4676 LAKEVIEW AVE STE 109E",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928862465",
"telephone_number": "657-222-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDNER",
"first_name": "TANYA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-27",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.