Andrea Carolina Fernandez Sanchez

Key facts

NPI

1770142663

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

145323 (CA)

Practice address

2783 Bettis Ave
Wasco, CA 93280-2922

Phone

(661) 910-6673

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC Mental Health Counselor · San Jose, CA · NPI 1154994846
  Medicare reassignment NPD CA · MARRIAGE & FAMILY THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2024.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1770142663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 BETTIS AVE",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932802922",
            "telephone_number": "661-520-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 BETTIS AVE",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932802922",
            "telephone_number": "661-910-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ SANCHEZ",
        "first_name": "ANDREA",
        "middle_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wasco, CA · Marriage & Family Therapist in California