Individual provider Active NPI

Ed Segawa, M.A., LMFT

  • Marriage & Family Therapist
  • Yorba Linda, CA
National Provider Identifier
1841528064
Registry record updated Nov 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 47250 Issued in CA
Practice address
17451 Bastanchury Rd
Suite 204-27
Yorba Linda, CA 92886-1857
Phone
(714) 349-5541
NPI assigned
Nov 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2009

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 MFC 47250 CA Primary

Addresses

Primary practice location

17451 Bastanchury Rd
Suite 204-27
Yorba Linda, CA 92886-1857

Mailing address

17451 Bastanchury Rd
Suite 204-27
Yorba Linda, CA 92886-1857
Phone (714) 349-5541

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
MFC 47250CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Paths Family Counseling Marriage & Family Therapist Current Accepting new patients

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": "1259452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259452800000",
    "number": "1841528064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD",
            "address_2": "SUITE 204-27",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "714-349-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD",
            "address_2": "SUITE 204-27",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "714-349-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAWA",
        "first_name": "ED",
        "name_prefix": "Mr.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-29",
        "last_updated": "2009-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2009; 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.