Individual provider Active NPI

Laura Melgosa, M.S. & LMFT

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1003296641
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34899 Issued in CA
Practice address
9 Crow Canyon CT
Suite 201
San Ramon, CA 94583-1972
Phone
(925) 922-2775
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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 MFC34899 CA Primary

Addresses

Primary practice location

9 Crow Canyon CT
Suite 201
San Ramon, CA 94583-1972

Mailing address

9 Crow Canyon Court
Suite 201
San Ramon, CA 94583
Phone (925) 922-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC34899CAMDMarriage & Family Therapist
34899CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1003296641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CROW CANYON COURT",
            "address_2": "SUITE 201",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-922-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CROW CANYON CT",
            "address_2": "SUITE 201",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831972",
            "telephone_number": "925-922-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGOSA",
        "first_name": "LAURA",
        "credential": "M.S. & LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.