Individual provider Active NPI

Angela Sandoval Garcia, LMFT

  • Marriage & Family Therapist
  • Chino, CA
National Provider Identifier
1912322546
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
77840 Issued in CA
Practice address
4110 Edison Ave Ste 206a
Chino, CA 91710-8417
Phone
(951) 454-5577
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 77840 CA Primary

Addresses

Primary practice location

4110 Edison Ave Ste 206a
Chino, CA 91710-8417

Mailing address

501 N Brookhurst St Ste 320
Anaheim, CA 92801-5204
Phone (714) 490-7711

Other practice location 1

501 N Brookhurst St Ste 320
Anaheim, CA 92801-5204
Phone (714) 490-7711 ext. 109

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
I20250224000748 CA Practitioner - Marriage and Family Therapist 9133649973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77840CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Health Management Psychological Corporation CurrentSince Jan 1, 2025 Accepting new patients

Locations

4110 Edison Ave
Ste 206A
Chino, CA 91710
Phone (951) 454-5577

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1912322546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N BROOKHURST ST STE 320",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015204",
            "telephone_number": "714-490-7711",
            "fax_number": "714-490-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 206A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108417",
            "telephone_number": "951-454-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Brookhurst St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015204",
            "country_code": "US",
            "telephone_number": "714-490-7711 x109",
            "fax_number": "714-490-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANGELA",
        "middle_name": "SANDOVAL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.