Individual provider Active NPI

Craig S Blanchard, MFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1811011737
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC33333 Issued in CA
Practice address
3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone
(562) 427-3897
Fax
(562) 309-9998
NPI assigned
Mar 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 MFC33333 CA Primary

Addresses

Primary practice location

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332

Mailing address

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

Other practice location 1

20371 Irvine Ave
Ste A160
Santa Ana, CA 92707-5651
Phone (714) 540-5010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407001213 CA Practitioner - Marriage and Family Therapist 1850815366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33333CAMDClinical Psychologist
MFC33333CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandra Wirga, M.D., Inc. CurrentSince Mar 20, 2025 Accepting new patients

Locations

3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897

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.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1811011737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073332",
            "telephone_number": "562-427-3897",
            "fax_number": "562-309-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073332",
            "telephone_number": "562-427-3897",
            "fax_number": "562-309-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20371 Irvine Ave",
            "address_2": "Ste A160",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927075651",
            "country_code": "US",
            "telephone_number": "714-540-5010",
            "fax_number": "714-540-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "CRAIG",
        "middle_name": "S",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.