Active NPI
Jaazar Shalabi
- Marriage & Family Therapist
- Fairfield, CA
National Provider Identifier
1003344995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122270
- Practice address
- 345 E Travis Blvd
Fairfield, CA 94533-3958 - Phone
- (510) 424-6391
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122270 | CA | Primary |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 108481 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 108481 | CA | |
| Marriage & Family Therapist | 106H00000X | 108481 | CA |
Addresses
Primary practice location
345 E Travis Blvd
Fairfield, CA 94533-3958
Mailing address
3636 4TH Ave Ste 304
San Diego, CA 92103-4294
Phone (626) 660-6916
Other practice location 1
3636 4th Ave Ste 302
San Diego, CA 92103-4294
Phone (626) 660-6916
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122270 | CA | MD | Marriage & Family Therapist |
| 108481 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1003344995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 4TH AVE STE 304",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034294",
"telephone_number": "626-660-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E TRAVIS BLVD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333958",
"telephone_number": "510-424-6391"
}
],
"practiceLocations": [
{
"address_1": "3636 4th Ave Ste 302",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921034294",
"country_code": "US",
"telephone_number": "626-660-6916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHALABI",
"first_name": "JAAZAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122270",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "108481",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "108481",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "108481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.