Individual provider Active NPI

Rosario Sabala

  • Marriage & Family Therapist
  • Yucca Valley, CA
National Provider Identifier
1871862250
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
57407 29 Palms Hwy
Suite F
Yucca Valley, CA 92284-2907
Phone
(760) 366-1541
Fax
(760) 228-1614
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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 Primary

Addresses

Primary practice location

57407 29 Palms Hwy
Suite F
Yucca Valley, CA 92284-2907

Mailing address

57407 29 Palms Hwy
Suite F
Yucca Valley, CA 92284-2907
Phone (760) 366-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226000074 CA Practitioner - Marriage and Family Therapist 6204270390 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Jan 1, 2024 Accepting new patients
County of Imperial CurrentSince Dec 20, 2023 Accepting new patients
County of Riverside CurrentSince Jan 1, 2024 Accepting new patients
County of Riverside Current Accepting new patients

Locations

202 N 8th St
Fl 2
El Centro, CA 92243

202 N 8th St
El Centro, CA 92243
Phone (442) 265-1570

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

Organizations & group practices 4

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1871862250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57407 29 PALMS HWY",
            "address_2": "SUITE F",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842907",
            "telephone_number": "760-366-1541",
            "fax_number": "760-228-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57407 29 PALMS HWY",
            "address_2": "SUITE F",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842907",
            "telephone_number": "760-366-1541",
            "fax_number": "760-228-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABALA",
        "first_name": "ROSARIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.