Individual provider Active NPI

Guadalupe Marie Nambo-Basua, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1952786972
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1110850 Issued in CA
Practice address
3436 American River Dr Ste 8a
Sacramento, CA 95864-5793
Phone
(916) 237-7457
NPI assigned
Jul 21, 2015
Reactivated
Mar 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 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 1110850 CA Primary

Addresses

Primary practice location

3436 American River Dr Ste 8a
Sacramento, CA 95864-5793

Mailing address

3436 American River Dr Ste 8a
Sacramento, CA 95864-5793
Phone (916) 237-7457

Other names 1

  • Guadalupe M Nambo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1110850CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1952786972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 AMERICAN RIVER DR STE 8A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645793",
            "telephone_number": "916-237-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 AMERICAN RIVER DR STE 8A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645793",
            "telephone_number": "916-237-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBO-BASUA",
        "first_name": "GUADALUPE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "deactivation_date": "2021-01-12",
        "reactivation_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "1110850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUADALUPE",
            "last_name": "NAMBO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.