Active NPI
Jarod Sanford
- Health Service Clinic/Center
- Brea, CA
National Provider Identifier
1861066953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Practice address
- 3050 Saturn St
Brea, CA 92821-6221 - Phone
- (657) 444-9002
- NPI assigned
- May 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
3050 Saturn St
Brea, CA 92821-6221
Mailing address
3050 Saturn St
Brea, CA 92821-6221
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1861066953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 SATURN ST",
"city": "BREA",
"state": "CA",
"postal_code": "928216221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 SATURN ST",
"city": "BREA",
"state": "CA",
"postal_code": "928216221",
"telephone_number": "657-444-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "JAROD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.