Individual provider Active NPI

Sandra E Petersen, M.A.

  • Marriage & Family Therapist
  • Hemet, CA
National Provider Identifier
1821070368
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MC 37270 Issued in CA
Practice address
43613 Florida Ave
Suite K
Hemet, CA 92544-7202
Phone
(951) 927-3585
Fax
(951) 927-8012
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MC 37270 CA Primary

Addresses

Primary practice location

43613 Florida Ave
Suite K
Hemet, CA 92544-7202

Mailing address

43613 Florida Ave
Suite K
Hemet, CA 92544-7202
Phone (951) 927-3585

Other identifiers 1

IdentifierTypeStateIssuer
MC 37270OtherCAMARRIAGE FAMILY THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC 37270CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821070368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43613 FLORIDA AVE",
            "address_2": "SUITE K",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447202",
            "telephone_number": "951-927-3585",
            "fax_number": "951-927-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43613 FLORIDA AVE",
            "address_2": "SUITE K",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447202",
            "telephone_number": "951-927-3585",
            "fax_number": "951-927-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MC 37270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE FAMILY THERAPY",
            "identifier": "MC 37270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.