Active NPI
Cynthia Lusy Salazar, LMFT
- Marriage & Family Therapist
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140997
- Practice address
- 15379 Parsley Leaf PL
Fontana, CA 92336-3396 - Phone
- (909) 919-0086
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 140997 | CA | Primary |
Addresses
Primary practice location
15379 Parsley Leaf PL
Fontana, CA 92336-3396
Mailing address
15379 Parsley Leaf PL
Fontana, CA 92336-3396
Phone (909) 919-0086
Other practice location 1
11780 Central Ave Ste 125
Chino, CA 91710-6498
Phone (951) 557-4978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891145041 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2431 W March LN
Suite 200
Stockton, CA 95207-8211
Phone (877) 693-3357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140997 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| An Elegant Sufficiency, a Psychological Corporation | Current | Accepting new patients | |
| A New Outcome, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| New Day Recovery Center, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
5250 Claremont Ave
Ste 118
Stockton, CA 95207
Phone (209) 200-8305
2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Stockton, CA
- NPI 1427655810
-
- Marriage & Family Therapist
- Fontana, CA
- NPI 1568329753
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1376559625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1891145041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15379 PARSLEY LEAF PL",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363396",
"telephone_number": "909-919-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15379 PARSLEY LEAF PL",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363396",
"telephone_number": "909-919-0086"
}
],
"practiceLocations": [
{
"address_1": "11780 Central Ave Ste 125",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917106498",
"country_code": "US",
"telephone_number": "951-557-4978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "CYNTHIA",
"middle_name": "LUSY",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891145041",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.