Individual provider Active NPI

Smita Kapoor

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1801270244
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1260 E Arrow Hwy BLDG E
Upland, CA 91786-4984
Phone
(626) 354-1987
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 Primary

Addresses

Primary practice location

1260 E Arrow Hwy BLDG E
Upland, CA 91786-4984

Mailing address

12495 Melon Dr
Rancho Cucamonga, CA 91739-8983
Phone (626) 354-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, AZ, TX, DC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240129004409 CA Practitioner - Marriage and Family Therapist 5294188967 Reassigns benefits to 1 organization
I20241204002549 OR Practitioner - Marriage and Family Therapist 5294188967 Reassigns benefits to 1 organization
I20241204003379 AZ Practitioner - Marriage and Family Therapist 5294188967 Reassigns benefits to 1 organization
I20250310002638 TX Practitioner - Marriage and Family Therapist 5294188967 Reassigns benefits to 1 organization
I20250318003922 DC Practitioner - Marriage and Family Therapist 5294188967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Drug and Alcohol Recovery Services CurrentSince Dec 31, 2023 Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Nov 6, 2024 Accepting new patients
Inland Valley Drug and Alcohol Recovery Services CurrentSince Dec 31, 2023 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 7, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1260 E Arrow Hwy
Bldg E
Upland, CA 91786
Phone (909) 921-1069

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: smita.kappor@49412312072196.direct.elationemr.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1801270244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 MELON DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398983",
            "telephone_number": "626-354-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E ARROW HWY BLDG E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864984",
            "telephone_number": "626-354-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "SMITA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.