Individual provider Active NPI

Sarina Crystal Chan, LMFT

  • Marriage & Family Therapist
  • Claremont, CA
National Provider Identifier
1750757530
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97746 Issued in CA
Practice address
1490 N Claremont Blvd Ste 202
Claremont, CA 91711-3519
Phone
(909) 500-8509
NPI assigned
Aug 17, 2015
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97746 CA Primary

Addresses

Primary practice location

1490 N Claremont Blvd Ste 202
Claremont, CA 91711-3519

Mailing address

1490 N Claremont Blvd Ste 202
Claremont, CA 91711-3519
Phone (909) 500-8509

Other practice location 1

1420 S Milliken Ave Ste 508
Ontario, CA 91761-2337
Phone (909) 988-2418

Other names 1

  • Sarina Wong Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1750757530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 N CLAREMONT BLVD STE 202",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113519",
            "telephone_number": "909-500-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N CLAREMONT BLVD STE 202",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113519",
            "telephone_number": "909-500-8509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 S Milliken Ave Ste 508",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917612337",
            "country_code": "US",
            "telephone_number": "909-988-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SARINA",
        "middle_name": "CRYSTAL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARINA",
            "last_name": "WONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.