Active NPI
Sandra Jamilette Alfaro Beltran, PSY.D.
- Psychologist
- Fontana, CA
National Provider Identifier
1669043568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY31288
- Practice address
- 16155 Sierra Lakes Pkwy Ste 160-354
Fontana, CA 92336-1244 - Phone
- (323) 432-0532
- NPI assigned
- Jul 2, 2021
- Last updated
- Jul 2, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY31288 | CA | Primary |
Addresses
Primary practice location
16155 Sierra Lakes Pkwy Ste 160-354
Fontana, CA 92336-1244
Mailing address
16155 Sierra Lakes Pkwy Ste 160-354
Fontana, CA 92336-1244
Phone (323) 432-0532
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 |
|---|---|---|---|
| PSY31288 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1669043568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16155 SIERRA LAKES PKWY STE 160-354",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361244",
"telephone_number": "323-432-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16155 SIERRA LAKES PKWY STE 160-354",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361244",
"telephone_number": "323-432-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFARO BELTRAN",
"first_name": "SANDRA",
"middle_name": "JAMILETTE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
- Alejandra D Mendizabal FNP (Mi Salud Medical Clinic)
- Alejandra D. Mendizabal Registered Nursing and Family Practice Inc
- Palwasha Alemzay
- Ashley Hao-Ai Alexander, D.O.
- Alexandra Ayoub, DDS., a Professional Corporation
- Omar Alfaro, DDS
- Anaivis Alfonso Gonzalez, FNP
- Pia Gabrielle Isidro Alfonso, M.D.
- Alfred B Dadivas MD Inc
- Aavaisra Ali
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.