Organization Active NPI

Jenice Staniford

  • Point of Service
  • San Diego, CA
National Provider Identifier
1720233463
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MLO21394 Issued in CA
Legal business name
JENICE STANIFORD
Practice address
4626 59TH St
San Diego, CA 92115-3830
Phone
(619) 286-0677
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Ms. Jenice Lorena Staniford, MFT
Title
Therapist
Phone
(619) 286-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MLO21394 CA Primary

Addresses

Primary practice location

4626 59TH St
San Diego, CA 92115-3830

Mailing address

4626 59TH St
San Diego, CA 92115-3830
Phone (619) 286-0677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1720233463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 59TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153830",
            "telephone_number": "619-286-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 59TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153830",
            "telephone_number": "619-286-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENICE STANIFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "STANIFORD",
        "authorized_official_first_name": "JENICE",
        "authorized_official_middle_name": "LORENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "619-286-0677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "MLO21394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.