Active NPI
Laura Melgosa, M.S. & LMFT
- Marriage & Family Therapist
- San Ramon, CA
National Provider Identifier
1003296641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC34899 | CA | MD | Marriage & Family Therapist |
| 34899 | CA | MD | Chiropractor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.