Active NPI
Russell Lloyd Sprague, MFT
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1841336575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC29289
- Practice address
- 41002 County Center Drive
Suite #320
Temecula, CA 92591 - Phone
- (951) 600-6383
- Fax
- (951) 600-6365
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 | MFC29289 | CA | Primary |
Addresses
Primary practice location
41002 County Center Drive
Suite #320
Temecula, CA 92591
Mailing address
10698 Arboretum Place
San Diego, CA 92131
Phone (858) 566-1808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC29289 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841336575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10698 ARBORETUM PLACE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92131",
"telephone_number": "858-566-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41002 COUNTY CENTER DRIVE",
"address_2": "SUITE #320",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92591",
"telephone_number": "951-600-6383",
"fax_number": "951-600-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "RUSSELL",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC29289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.