Individual provider Active NPI

Laura Denise Sala, MFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1891040366
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
71514 Issued in CA
Practice address
1200 N Main St
Suite Number 200
Santa Ana, CA 92701-3640
Phone
(714) 480-6767
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 71514 CA Primary

Addresses

Primary practice location

1200 N Main St
Suite Number 200
Santa Ana, CA 92701-3640

Mailing address

PO Box 2252
Costa Mesa, CA 92628-2252
Phone (949) 888-8977

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
I20241108001345 CA Practitioner - Marriage and Family Therapist 5294269569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of OrangeGroup PAC ID 1951215789, 45 clinicians

Practice addresses (Care Compare)

401 W Civic Ctr Dr
Suite 600
Santa Ana, CA 92701-4515
Phone (714) 480-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Aug 25, 2024 Accepting new patients
County of Orange CurrentSince Aug 25, 2024 Accepting new patients
County of Orange Current Accepting new patients
Southland Integrated Services, Inc. Past Accepting new patients

Locations

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

401 W Civic Center Dr
Ste 600
Santa Ana, CA 92701
Phone (626) 429-0299

1200 N Main St
#200
Santa Ana, CA 92701
Phone (714) 480-6647

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFCABD

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891040366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2252",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926282252",
            "telephone_number": "949-888-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "address_2": "SUITE NUMBER 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013640",
            "telephone_number": "714-480-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALA",
        "first_name": "LAURA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "71514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.