MS. KANDRA DIANE CLIFTON MA
NPI 1992885719
Counselor - Mental Health in Santa Ana, CA

Q: What is Kandra Clifton's NPI number?

The NPI number for Kandra Clifton is 1992885719. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Kandra Clifton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kandra Clifton was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment

1401 N TUSTIN AVE STE 225, SANTA ANA, CA 92705(714) 221-6400(714) 221-6401 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Kandra Diane Clifton Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KANDRA DIANE CLIFTON MA (NPI 1992885719) is an individual mental health provider in Santa Ana, California, licensed in California (MFT40400) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992885719

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. KANDRA DIANE CLIFTONCredential: MA

Location Address1401 N TUSTIN AVE STE 225Santa Ana, CA 92705-8688

Mailing Address1401 N Tustin Ave Ste 225Santa Ana, CA 92705-8688 · (714) 221-6400 · Fax (714) 221-6401

Phone(714) 221-6400

Fax(714) 221-6401

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 16, 2006

Last NPPES UpdateSeptember 22, 2021

NPPES CertifiedSeptember 22, 2021

✔ NPI 1992885719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · MFT40400

Also ListedCounselorTaxonomy 101Y00000X · License MFC40400 (CA)

1401 N TUSTIN AVE STE 225, Santa Ana, CA 92705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kandra Diane Clifton Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284070137

PECOS Enrollment IDI20240313003216

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kandra Clifton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathways Community Services LLC

Same address

Community/Behavioral Health

1401 N TUSTIN AVE STE 225
Santa Ana, CA 92705

Reassigned Medicare billing, California enrollment
27 clinicians in this Medicare group

NPI 1437294618 (714) 221-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID EDWARD GUNN AMFT

Counselor (Mental Health)