Active NPI
James Jude Sanders, LMFT
- Marriage & Family Therapist
- Corona del Mar, CA
National Provider Identifier
1780692855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 40061
- Practice address
- 2721 E Coast Hwy Ste 209
Corona del Mar, CA 92625-2131 - Phone
- (949) 636-7529
- Fax
- (949) 264-6322
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 | 40061 | CA | Primary |
Addresses
Primary practice location
2721 E Coast Hwy Ste 209
Corona del Mar, CA 92625-2131
Mailing address
4 Rue Fontainbleau
Newport Beach, CA 92660-5926
Phone (949) 636-7529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 22, 2024 through Nov 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3427 | NE | MD | Mental Health Counselor |
| 40061 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1780692855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RUE FONTAINBLEAU",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605926",
"telephone_number": "949-636-7529",
"fax_number": "949-264-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 E COAST HWY STE 209",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926252131",
"telephone_number": "949-636-7529",
"fax_number": "949-264-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JAMES",
"middle_name": "JUDE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.