Active NPI
Mitra Sarkhosh, MFT
- Marriage & Family Therapist
- Vista, CA
National Provider Identifier
1811083918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC41578
- Practice address
- 380 S Melrose Dr # 350
Vista, CA 92081-6641 - Phone
- (760) 522-8899
- Fax
- (760) 842-5126
- NPI assigned
- Oct 5, 2006
- Last updated
- Oct 13, 2011
- Sex
- Female
- 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 | MFC41578 | CA | Primary |
Addresses
Primary practice location
380 S Melrose Dr # 350
Vista, CA 92081-6641
Mailing address
380 S. Melrose Dr. #350
Vista, CA 92081
Phone (760) 522-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 8, 2024 through Jan 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC41578 | CA | MD | Marriage & Family Therapist |
| 41578 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1811083918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 S. MELROSE DR. #350",
"city": "VISTA",
"state": "CA",
"postal_code": "92081",
"telephone_number": "760-522-8899",
"fax_number": "760-842-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 S MELROSE DR # 350",
"city": "VISTA",
"state": "CA",
"postal_code": "920816641",
"telephone_number": "760-522-8899",
"fax_number": "760-842-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKHOSH",
"first_name": "MITRA",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC41578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.