Individual provider Active NPI

Angela Faye Masino

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1942975834
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109177 Issued in CA
Practice address
23201 Mill Creek Dr Ste 220
Laguna Hills, CA 92653-7906
Phone
(888) 795-4337
Fax
(949) 460-5322
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 109177 CA Primary

Addresses

Primary practice location

23201 Mill Creek Dr Ste 220
Laguna Hills, CA 92653-7906

Mailing address

23201 Mill Creek Dr Ste 220
Laguna Hills, CA 92653-7906
Phone (888) 795-4337

Other identifiers 1

IdentifierTypeStateIssuer
109177OtherCAAMFT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL centerfnd@gmail.com

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
I20240516001059 CA Practitioner - Marriage and Family Therapist 8224479605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for New Directions IncGroup PAC ID 9335475870, 32 clinicians

Practice addresses (Care Compare)

23201 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-7906
Phone (888) 795-4337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109177CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc CurrentSince Aug 15, 2021 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

221 E Walnut St
Ste 138
Pasadena, CA 91101

Organizations & group practices 2

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1942975834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23201 MILL CREEK DR STE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537906",
            "telephone_number": "888-795-4337",
            "fax_number": "949-460-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23201 MILL CREEK DR STE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537906",
            "telephone_number": "888-795-4337",
            "fax_number": "949-460-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASINO",
        "first_name": "ANGELA",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-09-16",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMFT",
            "identifier": "109177",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "centerfnd@gmail.com",
            "affiliation": "N",
            "address_1": "23201 Mill Creek Dr Ste 220",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926537906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.